31D0102656 CLIA NUMBER - HMHMG SPECIALTY CARE

Laboratory Demographics

CLIA Number: 31D0102656

Facility Name: HMHMG SPECIALTY CARE

Facility Address:
102 JAMES ST, SUITE 202
EDISON, NJ
ZIP 08820
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Facility Phone Number: 732 635-9800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699146852

Taxonomy: 261QR0401X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0102656
LAB Type	Physician Office
Facility Name	HMHMG SPECIALTY CARE
Street	102 JAMES ST, SUITE 202
City	EDISON
State	NJ
ZIP	08820
Phone	732 635-9800
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024