31D0941786 CLIA NUMBER - EASTERN MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 31D0941786
  • Facility Name: EASTERN MEDICAL ASSOCIATES
  • Facility Address: 101 PROSPECT STREET, STE 212
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 886-9400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESA C. THOMAS
  • NPI Number: 1801821251
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0941786
LAB Type Physician Office
Facility Name EASTERN MEDICAL ASSOCIATES
Street 101 PROSPECT STREET, STE 212
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 886-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director TERESA C. THOMAS

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