31D2114700 CLIA NUMBER - SAINT PETER'S PHYSICIAN ASSOCIATES INTERNAL MEDICINE GYN

Laboratory Demographics

  • CLIA Code: 31D2114700
  • Facility Name: SAINT PETER'S PHYSICIAN ASSOCIATES INTERNAL MEDICINE GYN
  • Facility Address: 59 VERONICA AVE 2ND FLOOR
    SOMERSET, NJ
    ZIP 08873
  • Facility Phone: (732) 828-0200
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MAHMOUD EL BANNA

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CLIA Record

Field Name Field Value
CLIA Number 31D2114700
LAB Type Practitioner Other
Facility Name SAINT PETER'S PHYSICIAN ASSOCIATES INTERNAL MEDICINE GYN
Street 59 VERONICA AVE 2ND FLOOR
City SOMERSET
State NJ
ZIP 08873
Phone 7328280200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Practitioner Other
Lab Director MAHMOUD EL BANNA

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This page was last updated on: 5/18/2026