31D2312392 CLIA NUMBER - PREMIER BRAIN AND SPINE LLC

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CLIA Record

Field Name Field Value
CLIA Number 31D2312392
LAB Type Physician Office
Facility Name PREMIER BRAIN AND SPINE LLC
Street 146 ROUTE 17 N
City HACKENSACK
State NJ
ZIP 07601
Phone 732 466-6467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DR. KUMUDINI MEHTA

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