31D2312100 CLIA NUMBER - SM MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 31D2312100
  • Facility Name: SM MEDICAL, LLC
  • Facility Address: 135 BLOOMFIELD AVE STE F
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 862 213-0033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL W. RAMEZ
  • NPI Number: 1932562907
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2312100
LAB Type Physician Office
Facility Name SM MEDICAL, LLC
Street 135 BLOOMFIELD AVE STE F
City BLOOMFIELD
State NJ
ZIP 07003
Phone 862 213-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director SAMUEL W. RAMEZ

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