31D2158188 CLIA NUMBER - ANN KIM MD PC

Laboratory Demographics

  • CLIA Code: 31D2158188
  • Facility Name: ANN KIM MD PC
  • Facility Address: 725 RIVER ROAD # 212
    EDGEWATER, NJ
    ZIP 07020
  • Facility Phone: 201 961-2808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANN KIM
  • NPI Number: 1588829352
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2158188
LAB Type Physician Office
Facility Name ANN KIM MD PC
Street 725 RIVER ROAD # 212
City EDGEWATER
State NJ
ZIP 07020
Phone 201 961-2808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director ANN KIM

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