31D2256173 CLIA NUMBER - MEDARBOR - SOMERS POINT

Laboratory Demographics

  • CLIA Code: 31D2256173
  • Facility Name: MEDARBOR - SOMERS POINT
  • Facility Address: 731 BAY AVENUE, 2ND FLOOR, SUITE 2
    SOMERS POINT, NJ
    ZIP 08244
  • Facility Phone: 888 590-0808
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MARCELLINO P. PORTO
  • NPI Number: 1831855576
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D2256173
LAB Type Independent
Facility Name MEDARBOR - SOMERS POINT
Street 731 BAY AVENUE, 2ND FLOOR, SUITE 2
City SOMERS POINT
State NJ
ZIP 08244
Phone 888 590-0808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Independent
Lab Director MARCELLINO P. PORTO

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