31D0123829 CLIA NUMBER - BRIDGEWATER MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D0123829
  • Facility Name: BRIDGEWATER MEDICAL GROUP
  • Facility Address: 766 RTE 202-206 N SUITE 1
    BRIDGEWATER, NJ
    ZIP 08807
  • Facility Phone: 908 722-0808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT LUSTIG DO
  • NPI Number: 1821031568
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0123829
LAB Type Physician Office
Facility Name BRIDGEWATER MEDICAL GROUP
Street 766 RTE 202-206 N SUITE 1
City BRIDGEWATER
State NJ
ZIP 08807
Phone 908 722-0808
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 ROBERT LUSTIG DO

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