31D2302771 CLIA NUMBER - ROBERT M OLSON MEDISPA PC

Laboratory Demographics

  • CLIA Code: 31D2302771
  • Facility Name: ROBERT M OLSON MEDISPA PC
  • Facility Address: 10-12 ELMER STREET
    MADISON, NJ
    ZIP 07940
  • Facility Phone: 973 377-2000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MEGAN G. PIERSANTI
  • NPI Number: 1114185329
  • Taxonomy: 225100000X - Physical Therapist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2302771
LAB Type Practitioner Other
Facility Name ROBERT M OLSON MEDISPA PC
Street 10-12 ELMER STREET
City MADISON
State NJ
ZIP 07940
Phone 973 377-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Practitioner Other
Lab Director MEGAN G. PIERSANTI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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