31D2014358 CLIA NUMBER - ADVOCARE GARDEN STATE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 31D2014358
  • Facility Name: ADVOCARE GARDEN STATE PHYSICIANS
  • Facility Address: 1002 AMBOY AVENUE
    EDISON, NJ
    ZIP 08837
  • Facility Phone: 732 274-1274
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRINIVAS MENDU
  • NPI Number: 1851601330
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2014358
LAB Type Physician Office
Facility Name ADVOCARE GARDEN STATE PHYSICIANS
Street 1002 AMBOY AVENUE
City EDISON
State NJ
ZIP 08837
Phone 732 274-1274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director SRINIVAS MENDU

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