31D0994092 CLIA NUMBER - BARNABAS HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D0994092
  • Facility Name: BARNABAS HEALTH MEDICAL GROUP
  • Facility Address: 405 NORTHFIELD AVE, SUITE LL3
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 731-7961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT S. EAGLE MD
  • NPI Number: 1538508155
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D0994092
LAB Type Physician Office
Facility Name BARNABAS HEALTH MEDICAL GROUP
Street 405 NORTHFIELD AVE, SUITE LL3
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 731-7961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director ROBERT S. EAGLE MD

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