31D2046562 CLIA NUMBER - PRIME INTERNAL MEDICINE A MEMBER OF CONSENSUS HEALTH

Laboratory Demographics

  • CLIA Code: 31D2046562
  • Facility Name: PRIME INTERNAL MEDICINE A MEMBER OF CONSENSUS HEALTH
  • Facility Address: 901 W MAIN STREET, MEDICAL ARTS BLDG SUITE 103
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 637-2768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FIOLAKEMI SOWEMIMO
  • NPI Number: 1588912968
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2046562
LAB Type Physician Office
Facility Name PRIME INTERNAL MEDICINE A MEMBER OF CONSENSUS HEALTH
Street 901 W MAIN STREET, MEDICAL ARTS BLDG SUITE 103
City FREEHOLD
State NJ
ZIP 07728
Phone 732 637-2768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director FIOLAKEMI SOWEMIMO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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