31D2052954 CLIA NUMBER - ELI EILENBERG MD FAAP LLC

Laboratory Demographics

  • CLIA Code: 31D2052954
  • Facility Name: ELI EILENBERG MD FAAP LLC
  • Facility Address: 150 JAMES ST SUITE 204
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 363-4003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELI EILENBERG
  • NPI Number: 1376639799
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2052954
LAB Type Physician Office
Facility Name ELI EILENBERG MD FAAP LLC
Street 150 JAMES ST SUITE 204
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 363-4003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director ELI EILENBERG

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