31D2312425 CLIA NUMBER - PREMIER BRAIN AND SPINE LLC

Laboratory Demographics

  • CLIA Code: 31D2312425
  • Facility Name: PREMIER BRAIN AND SPINE LLC
  • Facility Address: 860 ROUTE 168 SUITE 104
    TURNERSVILLE, NJ
    ZIP 08012
  • Facility Phone: 609 890-4080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KUMUDINI MEHTA
  • NPI Number: 1366214207
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2312425
LAB Type Physician Office
Facility Name PREMIER BRAIN AND SPINE LLC
Street 860 ROUTE 168 SUITE 104
City TURNERSVILLE
State NJ
ZIP 08012
Phone 609 890-4080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DR. KUMUDINI MEHTA

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