31D2257443 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA D/B/A CITYMD

Laboratory Demographics

  • CLIA Code: 31D2257443
  • Facility Name: SUMMIT MEDICAL GROUP, PA D/B/A CITYMD
  • Facility Address: 1640 ROUTE 22
    WATCHUNG, NJ
    ZIP 07069
  • Facility Phone: 201 381-5370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1477210227
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2257443
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP, PA D/B/A CITYMD
Street 1640 ROUTE 22
City WATCHUNG
State NJ
ZIP 07069
Phone 201 381-5370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director ABEL CHERIAN

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