31D2156689 CLIA NUMBER - ATLANTIC OB/GYN ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 31D2156689
  • Facility Name: ATLANTIC OB/GYN ASSOCIATES, PC
  • Facility Address: 1695 STATE ROUTE 88W, SUITE A
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 202-7458
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANITA PATEL
  • NPI Number: 1093096554
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D2156689
LAB Type Physician Office
Facility Name ATLANTIC OB/GYN ASSOCIATES, PC
Street 1695 STATE ROUTE 88W, SUITE A
City BRICK
State NJ
ZIP 08724
Phone 732 202-7458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director VANITA PATEL

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