31D2297424 CLIA NUMBER - NORTH WARD MEDICAL ARTS LLC

Laboratory Demographics

  • CLIA Code: 31D2297424
  • Facility Name: NORTH WARD MEDICAL ARTS LLC
  • Facility Address: 485 MT PROSPECT AVE 1ST FLOOR
    NEWARK, NJ
    ZIP 07104
  • Facility Phone: 973 672-8573
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER G. SALERNO
  • NPI Number: 1689206732
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2297424
LAB Type Physician Office
Facility Name NORTH WARD MEDICAL ARTS LLC
Street 485 MT PROSPECT AVE 1ST FLOOR
City NEWARK
State NJ
ZIP 07104
Phone 973 672-8573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director ALEXANDER G. SALERNO

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