31D2264554 CLIA NUMBER - CASTILLO & CASTILLO MD

Laboratory Demographics

  • CLIA Code: 31D2264554
  • Facility Name: CASTILLO & CASTILLO MD
  • Facility Address: 5801 BROADWAY
    WEST NEW YORK, NJ
    ZIP 07093
  • Facility Phone: 201 869-4044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELMA CASTILLO
  • NPI Number: 1295851327
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2264554
LAB Type Physician Office
Facility Name CASTILLO & CASTILLO MD
Street 5801 BROADWAY
City WEST NEW YORK
State NJ
ZIP 07093
Phone 201 869-4044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director ELMA CASTILLO

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