31D0703839 CLIA NUMBER - SHORE GASTROENTEROLOGY ASSOCIATES PC

Laboratory Demographics

CLIA Number: 31D0703839

Facility Name: SHORE GASTROENTEROLOGY ASSOCIATES PC

Facility Address:
1907 HIGHWAY 35 SUITE #1-A
OAKHURST, NJ
ZIP 07755
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Facility Phone Number: 732 517-0243

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1093719809

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	31D0703839
LAB Type	Independent
Facility Name	SHORE GASTROENTEROLOGY ASSOCIATES PC
Street	1907 HIGHWAY 35 SUITE #1-A
City	OAKHURST
State	NJ
ZIP	07755
Phone	732 517-0243
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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