31D0110609 CLIA NUMBER - REGIONAL CANCER CARE ASSOCIATES, LLC

Laboratory Demographics

CLIA Number: 31D0110609

Facility Name: REGIONAL CANCER CARE ASSOCIATES, LLC

Facility Address:
260 OLD HOOK ROAD, SUITE 301
WESTWOOD, NJ
ZIP 07675
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Facility Phone Number: 201 383-4840

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1508106162

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 31D0110609
LAB Type Physician Office
Facility Name REGIONAL CANCER CARE ASSOCIATES, LLC
Street 260 OLD HOOK ROAD, SUITE 301
City WESTWOOD
State NJ
ZIP 07675
Phone 201 383-4840
CertificateType 2
CertificateEffectiveDate 6/19/2023
CertificateExpirationDate 6/18/2025
FacilityType Compliance

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