31D2090805 CLIA NUMBER - SUMMIT MEDICAL GROUP PA DBA SUMMIT HEALTH

Laboratory Demographics

  • CLIA Code: 31D2090805
  • Facility Name: SUMMIT MEDICAL GROUP PA DBA SUMMIT HEALTH
  • Facility Address: 630 COMMONS WAY ATTN SMG - BRIDGEWATER FAMILY MEDICINE
    BRIDGEWATER, NJ
    ZIP 08807
  • Facility Phone: 908 277-8692
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JILL GORA
  • NPI Number: 1710607205
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2090805
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP PA DBA SUMMIT HEALTH
Street 630 COMMONS WAY ATTN SMG - BRIDGEWATER FAMILY MEDICINE
City BRIDGEWATER
State NJ
ZIP 08807
Phone 908 277-8692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director JILL GORA

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