31D2236331 CLIA NUMBER - WEST ORANGE ENDOVASCULAR CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D2236331
  • Facility Name: WEST ORANGE ENDOVASCULAR CENTER, LLC
  • Facility Address: 347 MOUNT PLEASANT AVE SUITE 100
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 947-6586
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN RUNDBACK
  • NPI Number: 1912412446
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2236331
LAB Type Physician Office
Facility Name WEST ORANGE ENDOVASCULAR CENTER, LLC
Street 347 MOUNT PLEASANT AVE SUITE 100
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 947-6586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director JOHN RUNDBACK

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