31D0122712 CLIA NUMBER - BARNABAS HEALTH MEDICAL GROUP

Laboratory Demographics

CLIA Number: 31D0122712

Facility Name: BARNABAS HEALTH MEDICAL GROUP

Facility Address:
475 ROUTE 70, SUITE 101
LAKEWOOD, NJ
ZIP 08701
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Facility Phone Number: 732 364-8000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255380283

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	31D0122712
LAB Type	Physician Office
Facility Name	BARNABAS HEALTH MEDICAL GROUP
Street	475 ROUTE 70, SUITE 101
City	LAKEWOOD
State	NJ
ZIP	08701
Phone	732 364-8000
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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