31D2291859 CLIA NUMBER - SUMMIT MEDICAL GROUP PA DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2291859
  • Facility Name: SUMMIT MEDICAL GROUP PA DBA CITYMD
  • Facility Address: 667 BLOOMFIELD AVENUE
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: (908) 648-3583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1760267926
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2291859
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP PA DBA CITYMD
Street 667 BLOOMFIELD AVENUE
City BLOOMFIELD
State NJ
ZIP 07003
Phone 9086483583
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: 5/18/2026