31D1018141 CLIA NUMBER - REGIONAL CANCER CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 31D1018141

Facility Name: REGIONAL CANCER CARE ASSOCIATES

Facility Address:
89 SPARTA AVENUE SUITE 130
SPARTA, NJ
ZIP 07871
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Facility Phone Number: 973 726-0005

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1568737534

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	31D1018141
LAB Type	Physician Office
Facility Name	REGIONAL CANCER CARE ASSOCIATES
Street	89 SPARTA AVENUE SUITE 130
City	SPARTA
State	NJ
ZIP	07871
Phone	973 726-0005
CertificateType	2
CertificateEffectiveDate	3/9/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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