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31D0935076 CLIA NUMBER - RAINBOW MEDICAL ASSOCIATION MD PA

Laboratory Demographics

CLIA Number: 31D0935076

Facility Name: RAINBOW MEDICAL ASSOCIATION MD PA

Facility Address:
200 PERRINE RD SUITE 228
OLD BRIDGE, NJ
ZIP 08857
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Facility Phone Number: 732 679-0660

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1659559219

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name Field Value
CLIA Number 31D0935076
LAB Type Physician Office
Facility Name RAINBOW MEDICAL ASSOCIATION MD PA
Street 200 PERRINE RD SUITE 228
City OLD BRIDGE
State NJ
ZIP 08857
Phone 732 679-0660
CertificateType 4
CertificateEffectiveDate 9/7/2023
CertificateExpirationDate 9/6/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024