31D2253873 CLIA NUMBER - TRINITAS PHYSICIANS PRACTICE

Laboratory Demographics

  • CLIA Code: 31D2253873
  • Facility Name: TRINITAS PHYSICIANS PRACTICE
  • Facility Address: 67 WESTFIELD AVENUE
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 732 499-9190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL MCINTYRE
  • NPI Number: 1669757217
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2253873
LAB Type Physician Office
Facility Name TRINITAS PHYSICIANS PRACTICE
Street 67 WESTFIELD AVENUE
City CLARK
State NJ
ZIP 07066
Phone 732 499-9190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director MICHAEL MCINTYRE

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