31D0865941 CLIA NUMBER - JORY GOLDBERG MD

Laboratory Demographics

  • CLIA Code: 31D0865941
  • Facility Name: JORY GOLDBERG MD
  • Facility Address: 18 CENTRE DRIVE SUITE 103
    MONROE TWP, NJ
    ZIP 08831
  • Facility Phone: 609 655-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLEEN M. GATER
  • NPI Number: 1407841638
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0865941
LAB Type Physician Office
Facility Name JORY GOLDBERG MD
Street 18 CENTRE DRIVE SUITE 103
City MONROE TWP
State NJ
ZIP 08831
Phone 609 655-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director COLLEEN M. GATER

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