31D2271033 CLIA NUMBER - ATLANTIC CARDIOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 31D2271033
  • Facility Name: ATLANTIC CARDIOLOGY GROUP
  • Facility Address: 8 TEMPE WICK ROAD
    MENDHAM, NJ
    ZIP 07945
  • Facility Phone: (973) 543-2288
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DOMENICK N. RANDAZZO
  • NPI Number: 1780771469
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D2271033
LAB Type Practitioner Other
Facility Name ATLANTIC CARDIOLOGY GROUP
Street 8 TEMPE WICK ROAD
City MENDHAM
State NJ
ZIP 07945
Phone 9735432288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Practitioner Other
Lab Director DOMENICK N. RANDAZZO

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This page was last updated on: 6/29/2026