31D2070770 CLIA NUMBER - INTERNAL MEDICINE OF VERNON - PRIMARY CARE PARTNER AFFILIATE

Laboratory Demographics

  • CLIA Code: 31D2070770
  • Facility Name: INTERNAL MEDICINE OF VERNON - PRIMARY CARE PARTNER AFFILIATE
  • Facility Address: 212 STATE ROUTE 94, SUITE 1 C
    VERNON, NJ
    ZIP 07462
  • Facility Phone: 973 823-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY G. GEISEN
  • NPI Number: 1508297680
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2070770
LAB Type Physician Office
Facility Name INTERNAL MEDICINE OF VERNON - PRIMARY CARE PARTNER AFFILIATE
Street 212 STATE ROUTE 94, SUITE 1 C
City VERNON
State NJ
ZIP 07462
Phone 973 823-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director AMY G. GEISEN

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