31D0114437 CLIA NUMBER - NEW JERSEY UROLOGY

Laboratory Demographics

CLIA Number: 31D0114437

Facility Name: NEW JERSEY UROLOGY

Facility Address:
733 NORTH BEERS STREET SUITE L-6
HOLMDEL, NJ
ZIP 07733
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Facility Phone Number: 732 739-2200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154750651

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	31D0114437
LAB Type	Physician Office
Facility Name	NEW JERSEY UROLOGY
Street	733 NORTH BEERS STREET SUITE L-6
City	HOLMDEL
State	NJ
ZIP	07733
Phone	732 739-2200
CertificateType	4
CertificateEffectiveDate	2/26/2024
CertificateExpirationDate	2/25/2026
FacilityType	Waiver

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