31D0122551 CLIA NUMBER - PENN PRINCETON PRIMARY CARE HAMILTON SQUARE

Laboratory Demographics

  • CLIA Code: 31D0122551
  • Facility Name: PENN PRINCETON PRIMARY CARE HAMILTON SQUARE
  • Facility Address: 2275 STATE HIGHWAY 33 SUITE 301
    HAMILTON SQUARE, NJ
    ZIP 08690
  • Facility Phone: 609 586-6006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH DE BLASIO
  • NPI Number: 1669544003
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0122551
LAB Type Physician Office
Facility Name PENN PRINCETON PRIMARY CARE HAMILTON SQUARE
Street 2275 STATE HIGHWAY 33 SUITE 301
City HAMILTON SQUARE
State NJ
ZIP 08690
Phone 609 586-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. JOSEPH DE BLASIO

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