31D2216573 CLIA NUMBER - TRUDOC MEDICAL

Laboratory Demographics

  • CLIA Code: 31D2216573
  • Facility Name: TRUDOC MEDICAL
  • Facility Address: 1187 MAIN AVE SUITE IF
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 973 928-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BASSEL NOUMI
  • NPI Number: 1619565942
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2216573
LAB Type Physician Office
Facility Name TRUDOC MEDICAL
Street 1187 MAIN AVE SUITE IF
City CLIFTON
State NJ
ZIP 07011
Phone 973 928-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director BASSEL NOUMI

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