31D0945777 CLIA NUMBER - HAROLD V MCKENNA MD PA

Laboratory Demographics

  • CLIA Code: 31D0945777
  • Facility Name: HAROLD V MCKENNA MD PA
  • Facility Address: 305 MAIN STREET
    SOUTH AMBOY, NJ
    ZIP 08879
  • Facility Phone: 732 721-1120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD V. MCKENNA MD
  • NPI Number: 1609959550
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0945777
LAB Type Physician Office
Facility Name HAROLD V MCKENNA MD PA
Street 305 MAIN STREET
City SOUTH AMBOY
State NJ
ZIP 08879
Phone 732 721-1120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director HAROLD V. MCKENNA MD

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