31D2170122 CLIA NUMBER - HEART CENTER OF THE ORANGES, THE

Laboratory Demographics

  • CLIA Code: 31D2170122
  • Facility Name: HEART CENTER OF THE ORANGES, THE
  • Facility Address: 202 STUYVESANT AVENUE
    NEWARK, NJ
    ZIP 07106
  • Facility Phone: 908 273-0209
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJIYAH GITENDRA
  • NPI Number: 1699647537
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2170122
LAB Type Physician Office
Facility Name HEART CENTER OF THE ORANGES, THE
Street 202 STUYVESANT AVENUE
City NEWARK
State NJ
ZIP 07106
Phone 908 273-0209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director RAJIYAH GITENDRA

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This page was last updated on: 9/29/2025