31D0980697 CLIA NUMBER - RWJPE HIGHLAND PARK FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 31D0980697

Facility Name: RWJPE HIGHLAND PARK FAMILY PRACTICE

Facility Address:
505 RARITAN AVENUE
HIGHLAND PARK, NJ
ZIP 08904
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Facility Phone Number: 732 393-1331

Facility Type: Physician Office

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	31D0980697
LAB Type	Physician Office
Facility Name	RWJPE HIGHLAND PARK FAMILY PRACTICE
Street	505 RARITAN AVENUE
City	HIGHLAND PARK
State	NJ
ZIP	08904
Phone	732 393-1331
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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