31D0677416 CLIA NUMBER - RUTGERS COOK-DOUGLASS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 31D0677416
  • Facility Name: RUTGERS COOK-DOUGLASS HEALTH CENTER
  • Facility Address: 61 DUDLEY RD
    NEW BRUNSWICK, NJ
    ZIP 08901
  • Facility Phone: 848 932-8985
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: DR. NOAA SHIMONI
  • NPI Number: 1750107298
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D0677416
LAB Type School/Student Health Service
Facility Name RUTGERS COOK-DOUGLASS HEALTH CENTER
Street 61 DUDLEY RD
City NEW BRUNSWICK
State NJ
ZIP 08901
Phone 848 932-8985
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 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type School/Student Health Service
Lab Director DR. NOAA SHIMONI

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