31D2291857 CLIA NUMBER - SUMMIT MEDICAL GROUP PA DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2291857
  • Facility Name: SUMMIT MEDICAL GROUP PA DBA CITYMD
  • Facility Address: 200 MILL CREEK DRIVE, UNIT A
    SECAUCUS, NJ
    ZIP 07094
  • Facility Phone: 201 537-3301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1891476255
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2291857
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP PA DBA CITYMD
Street 200 MILL CREEK DRIVE, UNIT A
City SECAUCUS
State NJ
ZIP 07094
Phone 201 537-3301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director ABEL CHERIAN

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