31D1034456 CLIA NUMBER - GREGORIO J GUILLEN MD PC

Laboratory Demographics

  • CLIA Code: 31D1034456
  • Facility Name: GREGORIO J GUILLEN MD PC
  • Facility Address: 400 STATE ST, SUITE 2
    PERTH AMBOY, NJ
    ZIP 08861
  • Facility Phone: 732 442-6020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORIO J. GUILLEN
  • NPI Number: 1538252226
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1034456
LAB Type Physician Office
Facility Name GREGORIO J GUILLEN MD PC
Street 400 STATE ST, SUITE 2
City PERTH AMBOY
State NJ
ZIP 08861
Phone 732 442-6020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director GREGORIO J. GUILLEN

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