31D2285584 CLIA NUMBER - SUMMIT MEDICAL GROUP DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2285584
  • Facility Name: SUMMIT MEDICAL GROUP DBA CITYMD
  • Facility Address: 1172 HAMBURG TURNPIKE
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 908 648-3579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1033893722
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2285584
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP DBA CITYMD
Street 1172 HAMBURG TURNPIKE
City WAYNE
State NJ
ZIP 07470
Phone 908 648-3579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director ABEL CHERIAN

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