31D1042741 CLIA NUMBER - ALLIANCE PRIMARY CARE OF NEW JERSEY PRIMARY CARE PARTNERS AFFILIATE

Laboratory Demographics

  • CLIA Code: 31D1042741
  • Facility Name: ALLIANCE PRIMARY CARE OF NEW JERSEY PRIMARY CARE PARTNERS AFFILIATE
  • Facility Address: 1314 PARK AVENUE SUITE 1
    PLAINFIELD, NJ
    ZIP 07060
  • Facility Phone: 908 561-9733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOYCE O. NKWONTA
  • NPI Number: 1467408047
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1042741
LAB Type Physician Office
Facility Name ALLIANCE PRIMARY CARE OF NEW JERSEY PRIMARY CARE PARTNERS AFFILIATE
Street 1314 PARK AVENUE SUITE 1
City PLAINFIELD
State NJ
ZIP 07060
Phone 908 561-9733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director JOYCE O. NKWONTA

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