31D2208376 CLIA NUMBER - FA CV CONSULTANTS PC

Laboratory Demographics

  • CLIA Code: 31D2208376
  • Facility Name: FA CV CONSULTANTS PC
  • Facility Address: 127 PINE STREET STE 1
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 567-0783
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FADI A. EL ATAT
  • NPI Number: 1366771453
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2208376
LAB Type Physician Office
Facility Name FA CV CONSULTANTS PC
Street 127 PINE STREET STE 1
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 567-0783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director FADI A. EL ATAT

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This page was last updated on: 6/4/2025