31D2150953 CLIA NUMBER - GRACE MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 31D2150953
  • Facility Name: GRACE MEDICAL GROUP, LLC
  • Facility Address: 1600 SAINT GEORGES AVENUE, SUITE 118
    RAHWAY, NJ
    ZIP 07065
  • Facility Phone: 848 236-5091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AKINLABI A. SANUSI
  • NPI Number: 1003323155
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2150953
LAB Type Physician Office
Facility Name GRACE MEDICAL GROUP, LLC
Street 1600 SAINT GEORGES AVENUE, SUITE 118
City RAHWAY
State NJ
ZIP 07065
Phone 848 236-5091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director AKINLABI A. SANUSI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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