31D0123965 CLIA NUMBER - MEDEMERGE

Laboratory Demographics

  • CLIA Code: 31D0123965
  • Facility Name: MEDEMERGE
  • Facility Address: 1005 N WASHINGTON AVE
    GREEN BROOK, NJ
    ZIP 08812
  • Facility Phone: 908 968-8900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JOHN PILLA
  • NPI Number: 1184643132
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0123965
LAB Type Physician Office
Facility Name MEDEMERGE
Street 1005 N WASHINGTON AVE
City GREEN BROOK
State NJ
ZIP 08812
Phone 908 968-8900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JOHN PILLA

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