31D2195167 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2195167
  • Facility Name: SUMMIT MEDICAL GROUP, PA DBA CITYMD
  • Facility Address: 503 ROUTE 202 NORTH
    RARITAN, NJ
    ZIP 08869
  • Facility Phone: 908 557-9802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL FROGEL
  • NPI Number: 1689248437
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2195167
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP, PA DBA CITYMD
Street 503 ROUTE 202 NORTH
City RARITAN
State NJ
ZIP 08869
Phone 908 557-9802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director DANIEL FROGEL

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