31D2222172 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2222172
  • Facility Name: SUMMIT MEDICAL GROUP, PA DBA CITYMD
  • Facility Address: 1224 NJ-23 NORTH
    BUTLER, NJ
    ZIP 07405
  • Facility Phone: 862 246-7945
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1598331936
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2222172
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP, PA DBA CITYMD
Street 1224 NJ-23 NORTH
City BUTLER
State NJ
ZIP 07405
Phone 862 246-7945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director ABEL CHERIAN

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