31D0125110 CLIA NUMBER - RARITAN BAY MED CTR PERTH AMBOY DIV LAB

Laboratory Demographics

  • CLIA Code: 31D0125110
  • Facility Name: RARITAN BAY MED CTR PERTH AMBOY DIV LAB
  • Facility Address: 530 NEW BRUNSWICK AVE
    PERTH AMBOY, NJ
    ZIP 08861
  • Facility Phone: 732 324-5163
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. CLINTON A. EWING
  • NPI Number: 1851768220
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 31D0125110
LAB Type Hospital
Facility Name RARITAN BAY MED CTR PERTH AMBOY DIV LAB
Street 530 NEW BRUNSWICK AVE
City PERTH AMBOY
State NJ
ZIP 08861
Phone 732 324-5163
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 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. CLINTON A. EWING

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This page was last updated on: 3/20/2025