31D2000052 CLIA NUMBER - ANNANDALE FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 31D2000052
  • Facility Name: ANNANDALE FAMILY PRACTICE, LLC
  • Facility Address: 56 PAYNE ROAD, SUITE 21
    LEBANON, NJ
    ZIP 08833
  • Facility Phone: (908) 238-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA SACCHIARI MD
  • NPI Number: 1467793141
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 31D2000052
LAB Type Physician Office
Facility Name ANNANDALE FAMILY PRACTICE, LLC
Street 56 PAYNE ROAD, SUITE 21
City LEBANON
State NJ
ZIP 08833
Phone 9082380100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2025
Certificate Expiration Date 11/18/2027
Facility Type Physician Office
Lab Director THERESA SACCHIARI MD

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This page was last updated on: 5/18/2026