31D2173377 CLIA NUMBER - NEWARK MT PLEASANT DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2173377
  • Facility Name: NEWARK MT PLEASANT DIALYSIS
  • Facility Address: 262 BROAD ST
    NEWARK, NJ
    ZIP 07104
  • Facility Phone: 973 268-7184
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MAYURI VIJAY SHARMA
  • NPI Number: 1821646035
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2173377
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEWARK MT PLEASANT DIALYSIS
Street 262 BROAD ST
City NEWARK
State NJ
ZIP 07104
Phone 973 268-7184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MAYURI VIJAY SHARMA

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This page was last updated on: 3/20/2025