31D0679065 CLIA NUMBER - PENN OBGYN PLAINSBORO

Laboratory Demographics

  • CLIA Code: 31D0679065
  • Facility Name: PENN OBGYN PLAINSBORO
  • Facility Address: 5 PLAINSBORO ROAD MEDICAL PAVILION, SUITE 500
    PLAINSBORO, NJ
    ZIP 08536
  • Facility Phone: 609 936-0700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SEJAL AMIN
  • NPI Number: 1215955166
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D0679065
LAB Type Physician Office
Facility Name PENN OBGYN PLAINSBORO
Street 5 PLAINSBORO ROAD MEDICAL PAVILION, SUITE 500
City PLAINSBORO
State NJ
ZIP 08536
Phone 609 936-0700
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 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director SEJAL AMIN

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