31D0924609 CLIA NUMBER - MATHENY CENTER OF MEDICINE & DENTISTRY

Laboratory Demographics

CLIA Code: 31D0924609
Facility Name: MATHENY CENTER OF MEDICINE & DENTISTRY
Facility Address: 65 HIGHLAND AVENUE PO BOX 339
PEAPACK, NJ
ZIP 07977
Facility Phone: 908 234-0011
Facility Type: Home Health Agency
Facility Type: Waiver
Lab Director: VINCENT BARBA
NPI Number: 1912383977
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	31D0924609
LAB Type	Home Health Agency
Facility Name	MATHENY CENTER OF MEDICINE & DENTISTRY
Street	65 HIGHLAND AVENUE PO BOX 339
City	PEAPACK
State	NJ
ZIP	07977
Phone	908 234-0011
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/4/2025
Certificate Expiration Date	2/3/2027
Facility Type	Home Health Agency
Lab Director	VINCENT BARBA

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