31D1018375 CLIA NUMBER - THOMAS KOWALENKO DO

Laboratory Demographics

  • CLIA Code: 31D1018375
  • Facility Name: THOMAS KOWALENKO DO
  • Facility Address: 808 RARITAN ROAD
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 732 381-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS KOWALENKO DO
  • NPI Number: 1538136429
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1018375
LAB Type Physician Office
Facility Name THOMAS KOWALENKO DO
Street 808 RARITAN ROAD
City CLARK
State NJ
ZIP 07066
Phone 732 381-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director THOMAS KOWALENKO DO

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