31D2271487 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2271487
  • Facility Name: SUMMIT MEDICAL GROUP, PA DBA CITYMD
  • Facility Address: 58 BROADWAY
    ELMWOOD PARK, NJ
    ZIP 07407
  • Facility Phone: 551 222-8227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1952011314
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2271487
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP, PA DBA CITYMD
Street 58 BROADWAY
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 551 222-8227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director ABEL CHERIAN

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