31D2154426 CLIA NUMBER - LISA VERNON, MD, FACOG, LLC

Laboratory Demographics

  • CLIA Code: 31D2154426
  • Facility Name: LISA VERNON, MD, FACOG, LLC
  • Facility Address: 85 NAUTILUS DRIVE, SUITE A
    MANAHAWKIN, NJ
    ZIP 08050
  • Facility Phone: 609 807-1414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA VERNON
  • NPI Number: 1447223128
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D2154426
LAB Type Physician Office
Facility Name LISA VERNON, MD, FACOG, LLC
Street 85 NAUTILUS DRIVE, SUITE A
City MANAHAWKIN
State NJ
ZIP 08050
Phone 609 807-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director LISA VERNON

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