31D2190364 CLIA NUMBER - JANE M BOOKER FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 31D2190364
  • Facility Name: JANE M BOOKER FAMILY HEALTH CENTER
  • Facility Address: 1828 WEST LAKE AVENUE
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: 732 869-5700
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SWAPNIL PATEL
  • NPI Number: 1538304019
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2190364
LAB Type Community Clinic
Facility Name JANE M BOOKER FAMILY HEALTH CENTER
Street 1828 WEST LAKE AVENUE
City NEPTUNE
State NJ
ZIP 07753
Phone 732 869-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Community Clinic
Lab Director SWAPNIL PATEL

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This page was last updated on: 3/20/2025