31D1009602 CLIA NUMBER - SHORE NEPHROLOGY PA

Laboratory Demographics

  • CLIA Code: 31D1009602
  • Facility Name: SHORE NEPHROLOGY PA
  • Facility Address: 2100 CORLIES AVE, SUITE 15
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: 732 988-8228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRA M. STRAUSS
  • NPI Number: 1003926171
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1009602
LAB Type Physician Office
Facility Name SHORE NEPHROLOGY PA
Street 2100 CORLIES AVE, SUITE 15
City NEPTUNE
State NJ
ZIP 07753
Phone 732 988-8228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director IRA M. STRAUSS

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