31D2004212 CLIA NUMBER - SAMUEL PRESCHEL, MD

Laboratory Demographics

  • CLIA Code: 31D2004212
  • Facility Name: SAMUEL PRESCHEL, MD
  • Facility Address: 809 RIVER AVENUE
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 905-9944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL PRESCHEL
  • NPI Number: 1063561413
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2004212
LAB Type Physician Office
Facility Name SAMUEL PRESCHEL, MD
Street 809 RIVER AVENUE
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 905-9944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director SAMUEL PRESCHEL

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This page was last updated on: 3/20/2025