31D2183892 CLIA NUMBER - THERAPRO-CORF, LLC

Laboratory Demographics

  • CLIA Code: 31D2183892
  • Facility Name: THERAPRO-CORF, LLC
  • Facility Address: 61-69 PARK AVE
    PATERSON, NJ
    ZIP 07501
  • Facility Phone: 201 869-2707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAVINDER K. TIKOO
  • NPI Number: 1215933775
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2183892
LAB Type Physician Office
Facility Name THERAPRO-CORF, LLC
Street 61-69 PARK AVE
City PATERSON
State NJ
ZIP 07501
Phone 201 869-2707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DR. RAVINDER K. TIKOO

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