31D0114368 CLIA NUMBER - REGIONAL CANCER CARE ASSOCIATES -HOWELL

Laboratory Demographics

CLIA Number: 31D0114368

Facility Name: REGIONAL CANCER CARE ASSOCIATES -HOWELL

Facility Address:
57 KENT ROAD
HOWELL, NJ
ZIP 07731
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Facility Phone Number: 732 367-1535

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1700150786

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	31D0114368
LAB Type	Physician Office
Facility Name	REGIONAL CANCER CARE ASSOCIATES -HOWELL
Street	57 KENT ROAD
City	HOWELL
State	NJ
ZIP	07731
Phone	732 367-1535
CertificateType	2
CertificateEffectiveDate	9/22/2023
CertificateExpirationDate	9/21/2025
FacilityType	Compliance

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