31D2092802 CLIA NUMBER - ID CARE PA

Laboratory Demographics

  • CLIA Code: 31D2092802
  • Facility Name: ID CARE PA
  • Facility Address: 1912 STATE ROUTE 35, SUITE 101
    OAKHURST, NJ
    ZIP 07755
  • Facility Phone: 908 281-0221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJAY MATHUR
  • NPI Number: 1639146277
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2092802
LAB Type Physician Office
Facility Name ID CARE PA
Street 1912 STATE ROUTE 35, SUITE 101
City OAKHURST
State NJ
ZIP 07755
Phone 908 281-0221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director AJAY MATHUR

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