31D0974671 CLIA NUMBER - PENN PRINCETON PRIMARY CARE DAYTON

Laboratory Demographics

CLIA Number: 31D0974671

Facility Name: PENN PRINCETON PRIMARY CARE DAYTON

Facility Address:
401 RIDGE ROAD SUITE # 6
DAYTON, NJ
ZIP 08810
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Facility Phone Number: 732 329-4800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770710576

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 31D0974671
LAB Type Physician Office
Facility Name PENN PRINCETON PRIMARY CARE DAYTON
Street 401 RIDGE ROAD SUITE # 6
City DAYTON
State NJ
ZIP 08810
Phone 732 329-4800
CertificateType 4
CertificateEffectiveDate 5/27/2023
CertificateExpirationDate 5/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024