31D2159568 CLIA NUMBER - CITY MEDICAL OF NEW JERSEY, PC

Laboratory Demographics

CLIA Number: 31D2159568

Facility Name: CITY MEDICAL OF NEW JERSEY, PC

Facility Address:
683 ROUTE 18 S
EAST BRUNSWICK, NJ
ZIP 08816
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Facility Phone Number: 848 206-0091

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962987073

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2159568
LAB Type	Physician Office
Facility Name	CITY MEDICAL OF NEW JERSEY, PC
Street	683 ROUTE 18 S
City	EAST BRUNSWICK
State	NJ
ZIP	08816
Phone	848 206-0091
CertificateType	4
CertificateEffectiveDate	12/20/2022
CertificateExpirationDate	12/19/2024
FacilityType	Waiver

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