31D2221384 CLIA NUMBER - ADVOCARE PANORAMA MEDICAL

Laboratory Demographics

CLIA Number: 31D2221384

Facility Name: ADVOCARE PANORAMA MEDICAL

Facility Address:
207 LAKEVIEW ADDRESS
CLIFTON, NJ
ZIP 07011
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Facility Phone Number: 973 928-3088

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972102903

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	31D2221384
LAB Type	Physician Office
Facility Name	ADVOCARE PANORAMA MEDICAL
Street	207 LAKEVIEW ADDRESS
City	CLIFTON
State	NJ
ZIP	07011
Phone	973 928-3088
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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