31D0999422 CLIA NUMBER - FAMILY PRACTICE OF CENTRASTATE

Laboratory Demographics

  • CLIA Code: 31D0999422
  • Facility Name: FAMILY PRACTICE OF CENTRASTATE
  • Facility Address: 901 WEST MAIN STREET AMBULATORY CAMPUS, STE 305B
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 462-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACLYN GULIANO
  • NPI Number: 1942277223
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0999422
LAB Type Physician Office
Facility Name FAMILY PRACTICE OF CENTRASTATE
Street 901 WEST MAIN STREET AMBULATORY CAMPUS, STE 305B
City FREEHOLD
State NJ
ZIP 07728
Phone 732 462-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director JACLYN GULIANO

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