31D0120517 CLIA NUMBER - OCEAN CITY FAMILY PRACTICE CTR

Laboratory Demographics

  • CLIA Code: 31D0120517
  • Facility Name: OCEAN CITY FAMILY PRACTICE CTR
  • Facility Address: 500 6TH STREET
    OCEAN CITY, NJ
    ZIP 08226
  • Facility Phone: 609 399-1862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY W. RAAB DO
  • NPI Number: 1811183189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0120517
LAB Type Physician Office
Facility Name OCEAN CITY FAMILY PRACTICE CTR
Street 500 6TH STREET
City OCEAN CITY
State NJ
ZIP 08226
Phone 609 399-1862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GARY W. RAAB DO

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