31D2151334 CLIA NUMBER - MIDDLETOWN MEDICAL

Laboratory Demographics

  • CLIA Code: 31D2151334
  • Facility Name: MIDDLETOWN MEDICAL
  • Facility Address: 600 ROUTE 35
    RED BANK, NJ
    ZIP 07701
  • Facility Phone: 732 706-1300
  • Facility Type: Other - ALCOHOL/DRUG TRMT
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER JOHNSTON
  • NPI Number: 1962712398
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2151334
LAB Type Other - ALCOHOL/DRUG TRMT
Facility Name MIDDLETOWN MEDICAL
Street 600 ROUTE 35
City RED BANK
State NJ
ZIP 07701
Phone 732 706-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Other - ALCOHOL/DRUG TRMT
Lab Director CHRISTOPHER JOHNSTON

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