31D0707384 CLIA NUMBER - REGIONAL CANCER CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 31D0707384

Facility Name: REGIONAL CANCER CARE ASSOCIATES

Facility Address:
92 SECOND STREET, 1ST FLOOR
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 551 996-5546

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1265870331

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	31D0707384
LAB Type	Physician Office
Facility Name	REGIONAL CANCER CARE ASSOCIATES
Street	92 SECOND STREET, 1ST FLOOR
City	HACKENSACK
State	NJ
ZIP	07601
Phone	551 996-5546
CertificateType	1
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Accreditation

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