31D0859143 CLIA NUMBER - DELRAN INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 31D0859143
  • Facility Name: DELRAN INTERNAL MEDICINE LLC
  • Facility Address: 5045 RT 130 S SUITE E
    DELRAN, NJ
    ZIP 08075
  • Facility Phone: (856) 764-2525
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW BASARA MD
  • NPI Number: 1356499768
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0859143
LAB Type Physician Office
Facility Name DELRAN INTERNAL MEDICINE LLC
Street 5045 RT 130 S SUITE E
City DELRAN
State NJ
ZIP 08075
Phone 8567642525
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MATTHEW BASARA MD

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This page was last updated on: 5/18/2026