31D2158600 CLIA NUMBER - SOMERSET COUNTY DEPARTMENT OF HEALTH

Laboratory Demographics

CLIA Number: 31D2158600

Facility Name: SOMERSET COUNTY DEPARTMENT OF HEALTH

Facility Address:
27 WARREN ST PO BOX 3000
SOMERVILLE, NJ
ZIP 08876
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Facility Phone Number: 908 642-0999

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1205063633

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	31D2158600
LAB Type	Community Clinic
Facility Name	SOMERSET COUNTY DEPARTMENT OF HEALTH
Street	27 WARREN ST PO BOX 3000
City	SOMERVILLE
State	NJ
ZIP	08876
Phone	908 642-0999
CertificateType	4
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024