31D2222197 CLIA NUMBER - SUMMIT MEDICAL GROUP PA DBA CITY MD

Laboratory Demographics

  • CLIA Code: 31D2222197
  • Facility Name: SUMMIT MEDICAL GROUP PA DBA CITY MD
  • Facility Address: 20 WEST OAKLAND AVENUE
    OAKLAND, NJ
    ZIP 07436
  • Facility Phone: 201 351-8336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1811561665
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2222197
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP PA DBA CITY MD
Street 20 WEST OAKLAND AVENUE
City OAKLAND
State NJ
ZIP 07436
Phone 201 351-8336
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