31D2290682 CLIA NUMBER - OAKLAND PRIMARY CARE LLC

Laboratory Demographics

CLIA Number: 31D2290682

Facility Name: OAKLAND PRIMARY CARE LLC

Facility Address:
9 POST ROAD, SUITE D7
OAKLAND, NJ
ZIP 07436
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Facility Phone Number: 201 337-1700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104600667

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2290682
LAB Type	Physician Office
Facility Name	OAKLAND PRIMARY CARE LLC
Street	9 POST ROAD, SUITE D7
City	OAKLAND
State	NJ
ZIP	07436
Phone	201 337-1700
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024