31D0122607 CLIA NUMBER - FAMILY FIRST URGENT CARE MVP MEDICAL ASSOCIATES, PA

Laboratory Demographics

CLIA Number: 31D0122607

Facility Name: FAMILY FIRST URGENT CARE MVP MEDICAL ASSOCIATES, PA

Facility Address:
1803 HIGHWAY 35
OAKHURST, NJ
ZIP 07755
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Facility Phone Number: 732 531-0100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174961189

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0122607
LAB Type	Physician Office
Facility Name	FAMILY FIRST URGENT CARE MVP MEDICAL ASSOCIATES, PA
Street	1803 HIGHWAY 35
City	OAKHURST
State	NJ
ZIP	07755
Phone	732 531-0100
CertificateType	4
CertificateEffectiveDate	5/12/2022
CertificateExpirationDate	5/11/2024
FacilityType	Waiver

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