31D2211498 CLIA NUMBER - EMAD JACOB MD PC

Laboratory Demographics

  • CLIA Code: 31D2211498
  • Facility Name: EMAD JACOB MD PC
  • Facility Address: 837 KEARNY AVE
    KEARNY, NJ
    ZIP 07032
  • Facility Phone: 201 772-5211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMAD JACOB
  • NPI Number: 1669622015
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2211498
LAB Type Physician Office
Facility Name EMAD JACOB MD PC
Street 837 KEARNY AVE
City KEARNY
State NJ
ZIP 07032
Phone 201 772-5211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director EMAD JACOB

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