31D1020049 CLIA NUMBER - OCEAN HEALTH INITIATIVES

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Laboratory Demographics

CLIA Number: 31D1020049

Facility Name: OCEAN HEALTH INITIATIVES

Facility Address:
3600 ROUTE 66
NEPTUNE, NJ
ZIP 07753
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Facility Phone Number: 732 886-4809

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1194226373

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D1020049
LAB Type	Federally Qualified Health Center
Facility Name	OCEAN HEALTH INITIATIVES
Street	3600 ROUTE 66
City	NEPTUNE
State	NJ
ZIP	07753
Phone	732 886-4809
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

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