31D2230412 CLIA NUMBER - AMG PEDIATRIC PULMONOLOGY

Laboratory Demographics

  • CLIA Code: 31D2230412
  • Facility Name: AMG PEDIATRIC PULMONOLOGY
  • Facility Address: 55 MADISON AVENUE BOX 107
    MORRISTOWN, NJ
    ZIP 07960
  • Facility Phone: 973 971-4142
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GURPREET PHULL
  • NPI Number: 1942787981
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 31D2230412
LAB Type Physician Office
Facility Name AMG PEDIATRIC PULMONOLOGY
Street 55 MADISON AVENUE BOX 107
City MORRISTOWN
State NJ
ZIP 07960
Phone 973 971-4142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director DR. GURPREET PHULL

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