31D1103465 CLIA NUMBER - ANEW MEDICAL

Laboratory Demographics

  • CLIA Code: 31D1103465
  • Facility Name: ANEW MEDICAL
  • Facility Address: 193 RT 9 SOUTH, SUITE 1 D
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 677-2505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATALYA AVANESOVA MD
  • NPI Number: 1578797759
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1103465
LAB Type Physician Office
Facility Name ANEW MEDICAL
Street 193 RT 9 SOUTH, SUITE 1 D
City MANALAPAN
State NJ
ZIP 07726
Phone 732 677-2505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2023
Certificate Expiration Date 8/10/2025
Facility Type Physician Office
Lab Director NATALYA AVANESOVA MD

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This page was last updated on: 6/4/2025