31D2182192 CLIA NUMBER - NJ PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 31D2182192
  • Facility Name: NJ PRIMARY CARE
  • Facility Address: 200 HUDSON STREET SUITE 145
    JERSEY CITY, NJ
    ZIP 07311
  • Facility Phone: (201) 241-3769
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVAL GADHVI
  • NPI Number: 1821482175
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2182192
LAB Type Physician Office
Facility Name NJ PRIMARY CARE
Street 200 HUDSON STREET SUITE 145
City JERSEY CITY
State NJ
ZIP 07311
Phone 2012413769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2026
Certificate Expiration Date 4/16/2028
Facility Type Physician Office
Lab Director DEVAL GADHVI

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This page was last updated on: 5/18/2026