31D2099626 CLIA NUMBER - GENOVESE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 31D2099626
  • Facility Name: GENOVESE PRIMARY CARE
  • Facility Address: 639 STOKES ROAD, SUITE 102
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 609 245-0416
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYNTHIA GENOVESE
  • NPI Number: 1013394998
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2099626
LAB Type Physician Office
Facility Name GENOVESE PRIMARY CARE
Street 639 STOKES ROAD, SUITE 102
City MEDFORD
State NJ
ZIP 08055
Phone 609 245-0416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director CYNTHIA GENOVESE

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