31D2307159 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2307159
  • Facility Name: SUMMIT MEDICAL GROUP, PA DBA CITYMD
  • Facility Address: 200-214 WARREN STREET
    NEWARK, NJ
    ZIP 07103
  • Facility Phone: 551 220-6545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1376388504
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2307159
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP, PA DBA CITYMD
Street 200-214 WARREN STREET
City NEWARK
State NJ
ZIP 07103
Phone 551 220-6545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director ABEL CHERIAN

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