31D2158611 CLIA NUMBER - PHYSICIAN'S WEIGHTLOSS PC

Laboratory Demographics

  • CLIA Code: 31D2158611
  • Facility Name: PHYSICIAN'S WEIGHTLOSS PC
  • Facility Address: 326 US 22, SUITE 10B
    GREEN BROOK, NJ
    ZIP 08812
  • Facility Phone: 732 624-9797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. GREENSTEIN
  • NPI Number: 1760948012
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2158611
LAB Type Physician Office
Facility Name PHYSICIAN'S WEIGHTLOSS PC
Street 326 US 22, SUITE 10B
City GREEN BROOK
State NJ
ZIP 08812
Phone 732 624-9797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director MICHAEL S. GREENSTEIN

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