31D2056428 CLIA NUMBER - ADVANCED MEDICINE PC

Laboratory Demographics

  • CLIA Code: 31D2056428
  • Facility Name: ADVANCED MEDICINE PC
  • Facility Address: 225 GORDONS CORNER RD SUITE 1H
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 851-4955
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUDMILLA RIDLOVSKY
  • NPI Number: 1235378175
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2056428
LAB Type Physician Office
Facility Name ADVANCED MEDICINE PC
Street 225 GORDONS CORNER RD SUITE 1H
City MANALAPAN
State NJ
ZIP 07726
Phone 732 851-4955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director LUDMILLA RIDLOVSKY

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