31D2188448 CLIA NUMBER - PREMIER BARIATRIC NJ

Laboratory Demographics

  • CLIA Code: 31D2188448
  • Facility Name: PREMIER BARIATRIC NJ
  • Facility Address: 1680 ROUTE 23, SUITE 180
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 940-3912
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANNING CHIN
  • NPI Number: 1548735145
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D2188448
LAB Type Physician Office
Facility Name PREMIER BARIATRIC NJ
Street 1680 ROUTE 23, SUITE 180
City WAYNE
State NJ
ZIP 07470
Phone 973 940-3912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director CHANNING CHIN

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