31D2279322 CLIA NUMBER - WOODBURY DIAGNOSTICS LAB

Laboratory Demographics

  • CLIA Code: 31D2279322
  • Facility Name: WOODBURY DIAGNOSTICS LAB
  • Facility Address: 3 S BROAD STREET SUITE 3 B3
    WOODBURY, NJ
    ZIP 08096
  • Facility Phone: 267 670-6784
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ROBIN N. GREEN
  • NPI Number: 1154206837
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D2279322
LAB Type Independent
Facility Name WOODBURY DIAGNOSTICS LAB
Street 3 S BROAD STREET SUITE 3 B3
City WOODBURY
State NJ
ZIP 08096
Phone 267 670-6784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Independent
Lab Director ROBIN N. GREEN

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