31D2024479 CLIA NUMBER - FREEHOLD OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 31D2024479
  • Facility Name: FREEHOLD OPHTHALMOLOGY
  • Facility Address: 509 STILLWELLS CORNER ROAD, SUITE E 5
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 431-9333
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERIC GERSHENBAUM
  • NPI Number: 1861446932
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 31D2024479
LAB Type Practitioner Other
Facility Name FREEHOLD OPHTHALMOLOGY
Street 509 STILLWELLS CORNER ROAD, SUITE E 5
City FREEHOLD
State NJ
ZIP 07728
Phone 732 431-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Practitioner Other
Lab Director ERIC GERSHENBAUM

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