31D0888304 CLIA NUMBER - OCEAN RENAL ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 31D0888304
  • Facility Name: OCEAN RENAL ASSOCIATES, PA
  • Facility Address: 210 JACK MARTIN BOULEVARD, SUITE D-1
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 341-4600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSE I. IGLESIAS
  • NPI Number: 1740214204
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0888304
LAB Type Physician Office
Facility Name OCEAN RENAL ASSOCIATES, PA
Street 210 JACK MARTIN BOULEVARD, SUITE D-1
City BRICK
State NJ
ZIP 08724
Phone 732 341-4600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director JOSE I. IGLESIAS

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