31D2291942 CLIA NUMBER - ESSEX PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 31D2291942
  • Facility Name: ESSEX PRIMARY CARE PC
  • Facility Address: 526 BLOOMFIELD AVE STE 103
    CALDWELL, NJ
    ZIP 07006
  • Facility Phone: 973 239-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAMATHA R. GADARLA
  • NPI Number: 1205240025
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2291942
LAB Type Physician Office
Facility Name ESSEX PRIMARY CARE PC
Street 526 BLOOMFIELD AVE STE 103
City CALDWELL
State NJ
ZIP 07006
Phone 973 239-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Physician Office
Lab Director MAMATHA R. GADARLA

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