31D2217653 CLIA NUMBER - COMMUNITY URGENT CARE NJ PA

Laboratory Demographics

CLIA Number: 31D2217653

Facility Name: COMMUNITY URGENT CARE NJ PA

Facility Address:
714 BROADWAY
PATERSON, NJ
ZIP 07514
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Facility Phone Number: 718 373-1000

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1417580887

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2217653
LAB Type	Other - URGENT CARE
Facility Name	COMMUNITY URGENT CARE NJ PA
Street	714 BROADWAY
City	PATERSON
State	NJ
ZIP	07514
Phone	718 373-1000
CertificateType	4
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024