31D2293580 CLIA NUMBER - ADVOCARE PANORAMA MEDICAL

Laboratory Demographics

  • CLIA Code: 31D2293580
  • Facility Name: ADVOCARE PANORAMA MEDICAL
  • Facility Address: 7406 BERGENLINE AVE
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 973 928-3088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMIR KHALIL
  • NPI Number: 1972102903
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2293580
LAB Type Physician Office
Facility Name ADVOCARE PANORAMA MEDICAL
Street 7406 BERGENLINE AVE
City NORTH BERGEN
State NJ
ZIP 07047
Phone 973 928-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director SAMIR KHALIL

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