31D2226225 CLIA NUMBER - UBERSTICKS MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 31D2226225
  • Facility Name: UBERSTICKS MEDICAL LLC
  • Facility Address: 17 MONROE STREET
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: 973 272-3646
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DEYANIRA PENA PLACENCIA
  • NPI Number: 1528636594
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D2226225
LAB Type Mobile Laboratory
Facility Name UBERSTICKS MEDICAL LLC
Street 17 MONROE STREET
City PASSAIC
State NJ
ZIP 07055
Phone 973 272-3646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Mobile Laboratory
Lab Director DEYANIRA PENA PLACENCIA

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