Advanced Comprehensive Laboratory
Organization Active NPI Clinical Medical Laboratory · Millburn, NJ
NPI 1669990701 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1669990701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 0011490 (NJ)
- Legal business name
- ADVANCED COMPREHENSIVE LABORATORY
- Practice address
- 67-71 East Willow Street
Millburn, NJ 07041-9999 - Phone
- (877) 355-3580
- Fax
- (866) 899-3995
- NPI assigned
- Sep 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Austin Yang
- Title
- Ceo
- Phone
- (973) 250-9898
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2135687 | Advanced Comprehensive Laboratory | Compliance | Jul 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180410003139 | NJ | Part B Supplier - Independent Clinical Laboratory | 7315200094 | Practice locations: Millburn, NJ |
National Provider Directory
Locations
67 E Willow St
Ste 2
Millburn, NJ 07041
67 E Willow St
Millburn, NJ 07041
Phone (877) 355-3580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 0011490 | NJ | Yes |
Addresses
Primary practice location
67-71 East Willow Street
Millburn, NJ 07041-9999
Mailing address
67-71 East Willow Street
Millburn, NJ 07041-9999
Phone (877) 355-3580
Other providers in Millburn, NJ
- Maria Abada
- Safiya Abouzaid
- Acn Health, LLC
- Yetunde Adeola
- Advanced Ambulatory Anesthesiologists LLC
- Advanced Therapeutic Center LLC
- Agape Touch LLC Dba Preferred Care at Home of Northeast New Jersey
- Idrees Ahmad
- Andrea Alexander
- Dominick Algeri
All providers in Millburn, NJ · Clinical Medical Laboratory in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.