31D2239793 CLIA NUMBER - RELIANT ENDOCRINOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 31D2239793
  • Facility Name: RELIANT ENDOCRINOLOGY, LLC
  • Facility Address: 385 CLINTON AVENUE
    WYCKOFF, NJ
    ZIP 07481
  • Facility Phone: 551 209-3555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUHALIA BAKERYWALA
  • NPI Number: 1639747447
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2239793
LAB Type Physician Office
Facility Name RELIANT ENDOCRINOLOGY, LLC
Street 385 CLINTON AVENUE
City WYCKOFF
State NJ
ZIP 07481
Phone 551 209-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director SUHALIA BAKERYWALA

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