31D2013353 CLIA NUMBER - ELENA V SELINA, MD

Laboratory Demographics

  • CLIA Code: 31D2013353
  • Facility Name: ELENA V SELINA, MD
  • Facility Address: 415 S CHRIS GAUPP DR UNIT A
    GALLOWAY TOWNSHIP, NJ
    ZIP 08205
  • Facility Phone: 609 404-0121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELENA V. SELINA
  • NPI Number: 1700191582
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2013353
LAB Type Physician Office
Facility Name ELENA V SELINA, MD
Street 415 S CHRIS GAUPP DR UNIT A
City GALLOWAY TOWNSHIP
State NJ
ZIP 08205
Phone 609 404-0121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director ELENA V. SELINA

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