31D1039918 CLIA NUMBER - MENLA HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 31D1039918

Facility Name: MENLA HEALTHCARE LLC

Facility Address:
411 EXECUTIVE DRIVE BLDG 4 SUITE 411 & 412
PRINCETON, NJ
ZIP 08540
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Facility Phone Number: 609 688-1608

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1336245331

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D1039918
LAB Type	Physician Office
Facility Name	MENLA HEALTHCARE LLC
Street	411 EXECUTIVE DRIVE BLDG 4 SUITE 411 & 412
City	PRINCETON
State	NJ
ZIP	08540
Phone	609 688-1608
CertificateType	3
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	PPMP

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