31D2285868 CLIA NUMBER - CENTER FOR NETWORK THERAPY, LLP

Laboratory Demographics

  • CLIA Code: 31D2285868
  • Facility Name: CENTER FOR NETWORK THERAPY, LLP
  • Facility Address: 81 NORTHFIELD AVE, STE 104
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 731-1375
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: INDRA CIDAMBI
  • NPI Number: 1053813600
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2285868
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CENTER FOR NETWORK THERAPY, LLP
Street 81 NORTHFIELD AVE, STE 104
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 731-1375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director INDRA CIDAMBI

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