31D2256482 CLIA NUMBER - P & C MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D2256482
  • Facility Name: P & C MEDICAL GROUP LLC
  • Facility Address: 530 WESTFIELD AVENUE, 2ND FLOOR
    ELIZABETH, NJ
    ZIP 07208
  • Facility Phone: 908 659-0075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA D. CISNERO
  • NPI Number: 1760785398
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2256482
LAB Type Physician Office
Facility Name P & C MEDICAL GROUP LLC
Street 530 WESTFIELD AVENUE, 2ND FLOOR
City ELIZABETH
State NJ
ZIP 07208
Phone 908 659-0075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director MARIA D. CISNERO

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