31D2235604 CLIA NUMBER - ERIC BENTOLILA MD PA

Laboratory Demographics

  • CLIA Code: 31D2235604
  • Facility Name: ERIC BENTOLILA MD PA
  • Facility Address: 615 FRANKLYN TURNPIKE
    RIDGEWOOD, NJ
    ZIP 07450
  • Facility Phone: 201 447-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC BENTOLILA
  • NPI Number: 1487726675
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D2235604
LAB Type Physician Office
Facility Name ERIC BENTOLILA MD PA
Street 615 FRANKLYN TURNPIKE
City RIDGEWOOD
State NJ
ZIP 07450
Phone 201 447-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director ERIC BENTOLILA

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