31D0123766 CLIA NUMBER - MIDDLEBROOK FAMILY PHYSICIANS PA

Laboratory Demographics

  • CLIA Code: 31D0123766
  • Facility Name: MIDDLEBROOK FAMILY PHYSICIANS PA
  • Facility Address: 101 EAST UNION AVENUE
    BOUND BROOK, NJ
    ZIP 08805
  • Facility Phone: 732 560-0490
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRIEDA GOLDMAN
  • NPI Number: 1740323021
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0123766
LAB Type Physician Office
Facility Name MIDDLEBROOK FAMILY PHYSICIANS PA
Street 101 EAST UNION AVENUE
City BOUND BROOK
State NJ
ZIP 08805
Phone 732 560-0490
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director FRIEDA GOLDMAN

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