31D1043307 CLIA NUMBER - CITY MD 712 EAST BAY AVE SUITE 22B MANAHAWKIN

Laboratory Demographics

  • CLIA Code: 31D1043307
  • Facility Name: CITY MD 712 EAST BAY AVE SUITE 22B MANAHAWKIN
  • Facility Address: 712 EAST BAY AVE, SUITE 22B
    MANAHAWKIN, NJ
    ZIP 08050
  • Facility Phone: 609 978-0242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN C. KULIN
  • NPI Number: 1053985804
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1043307
LAB Type Physician Office
Facility Name CITY MD 712 EAST BAY AVE SUITE 22B MANAHAWKIN
Street 712 EAST BAY AVE, SUITE 22B
City MANAHAWKIN
State NJ
ZIP 08050
Phone 609 978-0242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director JOHN C. KULIN

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