31D2324081 CLIA NUMBER - FAMILY PM LLC

Laboratory Demographics

  • CLIA Code: 31D2324081
  • Facility Name: FAMILY PM LLC
  • Facility Address: 300 CRAIG RD SUITE 204
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 546-1383
  • Facility Type: Other - PAIN MANAGEMENT AND REHAB
  • Facility Type: Waiver
  • Lab Director: ROMAN SHAPOSHNIKOV
  • NPI Number: 1104554633
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2324081
LAB Type Other - PAIN MANAGEMENT AND REHAB
Facility Name FAMILY PM LLC
Street 300 CRAIG RD SUITE 204
City MANALAPAN
State NJ
ZIP 07726
Phone 732 546-1383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Other - PAIN MANAGEMENT AND REHAB
Lab Director ROMAN SHAPOSHNIKOV

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