31D2296512 CLIA NUMBER - ANTONIO THOMAS, MD

Laboratory Demographics

  • CLIA Code: 31D2296512
  • Facility Name: ANTONIO THOMAS, MD
  • Facility Address: 1907 PARK AVE SUITE 103
    SOUTH PLAINFIELD, NJ
    ZIP 07080
  • Facility Phone: 908 561-2333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO THOMAS
  • NPI Number: 1902833684
  • Taxonomy: 2080P0204X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2296512
LAB Type Physician Office
Facility Name ANTONIO THOMAS, MD
Street 1907 PARK AVE SUITE 103
City SOUTH PLAINFIELD
State NJ
ZIP 07080
Phone 908 561-2333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director ANTONIO THOMAS

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