31D2298597 CLIA NUMBER - PRI-MED CARE PA

Laboratory Demographics

  • CLIA Code: 31D2298597
  • Facility Name: PRI-MED CARE PA
  • Facility Address: 654 MOUNT PROSPECT AVENUE SUITE 202
    NEWARK, NJ
    ZIP 07104
  • Facility Phone: 973 484-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAUDIA E. BERDUGO
  • NPI Number: 1063449023
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2298597
LAB Type Physician Office
Facility Name PRI-MED CARE PA
Street 654 MOUNT PROSPECT AVENUE SUITE 202
City NEWARK
State NJ
ZIP 07104
Phone 973 484-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director CLAUDIA E. BERDUGO

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