31D0726723 CLIA NUMBER - STAR COMMUNITY HEALTH-COVENTRY

Laboratory Demographics

  • CLIA Code: 31D0726723
  • Facility Name: STAR COMMUNITY HEALTH-COVENTRY
  • Facility Address: 755 MEMORIAL PARKWAY SUITE 300
    PHILLIPSBURG, NJ
    ZIP 08865
  • Facility Phone: 908 847-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE DECKER
  • NPI Number: 1780162396
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0726723
LAB Type Physician Office
Facility Name STAR COMMUNITY HEALTH-COVENTRY
Street 755 MEMORIAL PARKWAY SUITE 300
City PHILLIPSBURG
State NJ
ZIP 08865
Phone 908 847-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director EUGENE DECKER

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