31D0965947 CLIA NUMBER - STEPHEN D FORD MD PA

Laboratory Demographics

  • CLIA Code: 31D0965947
  • Facility Name: STEPHEN D FORD MD PA
  • Facility Address: 1139 RARITAN ROAD, SUITE 104
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 732 382-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN D. FORD
  • NPI Number: 1447290408
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0965947
LAB Type Physician Office
Facility Name STEPHEN D FORD MD PA
Street 1139 RARITAN ROAD, SUITE 104
City CLARK
State NJ
ZIP 07066
Phone 732 382-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director STEPHEN D. FORD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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