31D2190254 CLIA NUMBER - CENTRO CLINICO LLC

Laboratory Demographics

  • CLIA Code: 31D2190254
  • Facility Name: CENTRO CLINICO LLC
  • Facility Address: 474 CLIFTON AVE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 862 291-0080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AFONJA A. RICHARDS
  • NPI Number: 1912547357
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2190254
LAB Type Physician Office
Facility Name CENTRO CLINICO LLC
Street 474 CLIFTON AVE
City CLIFTON
State NJ
ZIP 07011
Phone 862 291-0080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director AFONJA A. RICHARDS

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