31D2180372 CLIA NUMBER - UNIVERSAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D2180372
  • Facility Name: UNIVERSAL MEDICINE
  • Facility Address: 103 RIVER ROAD, SUITE 101
    EDGEWATER, NJ
    ZIP 07020
  • Facility Phone: 201 308-8995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMENICO ROTOLI
  • NPI Number: 1649648809
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2180372
LAB Type Physician Office
Facility Name UNIVERSAL MEDICINE
Street 103 RIVER ROAD, SUITE 101
City EDGEWATER
State NJ
ZIP 07020
Phone 201 308-8995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DOMENICO ROTOLI

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