31D0119544 CLIA NUMBER - PINE STREET FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 31D0119544
  • Facility Name: PINE STREET FAMILY PRACTICE
  • Facility Address: 220 E PINE ST
    WILLIAMSTOWN, NJ
    ZIP 08094
  • Facility Phone: 609 629-7436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEE ANN VANHOUTEN-SAUTER DO
  • NPI Number: 1437103033
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0119544
LAB Type Physician Office
Facility Name PINE STREET FAMILY PRACTICE
Street 220 E PINE ST
City WILLIAMSTOWN
State NJ
ZIP 08094
Phone 609 629-7436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LEE ANN VANHOUTEN-SAUTER DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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