31D2171716 CLIA NUMBER - CADOO MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 31D2171716
  • Facility Name: CADOO MEDICAL, PC
  • Facility Address: 66 PARK STREET, SUITE 101
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 577-3010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA CADOO
  • NPI Number: 1528626488
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2171716
LAB Type Physician Office
Facility Name CADOO MEDICAL, PC
Street 66 PARK STREET, SUITE 101
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 577-3010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director LISA CADOO

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