31D1072136 CLIA NUMBER - SRIVIDHYA SUBBARAYAN MD PA

Laboratory Demographics

  • CLIA Code: 31D1072136
  • Facility Name: SRIVIDHYA SUBBARAYAN MD PA
  • Facility Address: 666 PLAINSBORO ROAD STE 2000 B
    PLAINSBORO, NJ
    ZIP 08536
  • Facility Phone: 609 799-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRIVIDHYA SUBBARAYAN MD
  • NPI Number: 1932329893
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1072136
LAB Type Physician Office
Facility Name SRIVIDHYA SUBBARAYAN MD PA
Street 666 PLAINSBORO ROAD STE 2000 B
City PLAINSBORO
State NJ
ZIP 08536
Phone 609 799-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director SRIVIDHYA SUBBARAYAN MD

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