31D2329593 CLIA NUMBER - PLATINUM PROVIDERS GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D2329593
  • Facility Name: PLATINUM PROVIDERS GROUP LLC
  • Facility Address: 1418 NEW ROAD STE 1
    NORTHFIELD, NJ
    ZIP 08225
  • Facility Phone: 609 796-7969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR NAHAS
  • NPI Number: 1457080178
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2329593
LAB Type Physician Office
Facility Name PLATINUM PROVIDERS GROUP LLC
Street 1418 NEW ROAD STE 1
City NORTHFIELD
State NJ
ZIP 08225
Phone 609 796-7969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director ARTHUR NAHAS

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