31D0966787 CLIA NUMBER - PEMCARE LLC

Laboratory Demographics

  • CLIA Code: 31D0966787
  • Facility Name: PEMCARE LLC
  • Facility Address: 267 CENTRAL AVEUNE
    METUCHEN, NJ
    ZIP 08840
  • Facility Phone: 732 287-6004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY J. MISKO JR
  • NPI Number: 1659423549
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0966787
LAB Type Physician Office
Facility Name PEMCARE LLC
Street 267 CENTRAL AVEUNE
City METUCHEN
State NJ
ZIP 08840
Phone 732 287-6004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director GARY J. MISKO JR

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