31D0962077 CLIA NUMBER - WARREN PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 31D0962077
  • Facility Name: WARREN PRIMARY CARE CENTER
  • Facility Address: 47 US HIGHWAY 46
    HACKETTSTOWN, NJ
    ZIP 07840
  • Facility Phone: 908 852-8750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVI P. GOLLAPUDI
  • NPI Number: 1992264683
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0962077
LAB Type Physician Office
Facility Name WARREN PRIMARY CARE CENTER
Street 47 US HIGHWAY 46
City HACKETTSTOWN
State NJ
ZIP 07840
Phone 908 852-8750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director DEVI P. GOLLAPUDI

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