31D0116006 CLIA NUMBER - ST LUKE'S WARREN PHYSICIAN GROUP WARREN HILLS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 31D0116006
  • Facility Name: ST LUKE'S WARREN PHYSICIAN GROUP WARREN HILLS FAMILY PRACTICE
  • Facility Address: 315 ROUTE 31 SOUTH
    WASHINGTON, NJ
    ZIP 07882
  • Facility Phone: 908 847-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OKSANA YEVDOKIMOVA
  • NPI Number: 1295009918
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0116006
LAB Type Physician Office
Facility Name ST LUKE'S WARREN PHYSICIAN GROUP WARREN HILLS FAMILY PRACTICE
Street 315 ROUTE 31 SOUTH
City WASHINGTON
State NJ
ZIP 07882
Phone 908 847-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director DR. OKSANA YEVDOKIMOVA

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