31D2244608 CLIA NUMBER - SUZUKI MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 31D2244608

Facility Name: SUZUKI MEDICAL ASSOCIATES

Facility Address:
215 N MAIN STREET
PENNINGTON, NJ
ZIP 08534
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Facility Phone Number: 609 275-5700

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1538606967

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	31D2244608
LAB Type	Practitioner Other
Facility Name	SUZUKI MEDICAL ASSOCIATES
Street	215 N MAIN STREET
City	PENNINGTON
State	NJ
ZIP	08534
Phone	609 275-5700
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

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