31D2311709 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA

Laboratory Demographics

  • CLIA Code: 31D2311709
  • Facility Name: SUMMIT MEDICAL GROUP, PA
  • Facility Address: 687 US 1
    EDISON, NJ
    ZIP 08817
  • Facility Phone: 201 590-4018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL CHERIAN
  • NPI Number: 1710710512
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2311709
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP, PA
Street 687 US 1
City EDISON
State NJ
ZIP 08817
Phone 201 590-4018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director ABEL CHERIAN

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