31D2219312 CLIA NUMBER - MT PROSPECT OB-GYN

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CLIA Record

Field Name Field Value
CLIA Number 31D2219312
LAB Type Physician Office
Facility Name MT PROSPECT OB-GYN
Street 671 MT PROSPECT AVE
City NEWARK
State NJ
ZIP 07104
Phone 973 497-9611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director KHALID S. SAWAGED

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