31D2181418 CLIA NUMBER - MONTGOMERY HEALTH FACILITY

Laboratory Demographics

  • CLIA Code: 31D2181418
  • Facility Name: MONTGOMERY HEALTH FACILITY
  • Facility Address: 580 MONTGOMERY STREET
    JERSEY CITY, NJ
    ZIP 07302
  • Facility Phone: 201 209-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJUM CHATHA
  • NPI Number: 1376797068
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 31D2181418
LAB Type Physician Office
Facility Name MONTGOMERY HEALTH FACILITY
Street 580 MONTGOMERY STREET
City JERSEY CITY
State NJ
ZIP 07302
Phone 201 209-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director ANJUM CHATHA

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