31D1088116 CLIA NUMBER - JERSEY COAST FAMILY MEDICINE LLC

Laboratory Demographics

CLIA Number: 31D1088116

Facility Name: JERSEY COAST FAMILY MEDICINE LLC

Facility Address:
495 JACK MARTIN BOULEVARD, SUITE 5
BRICK, NJ
ZIP 08724
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Facility Phone Number: 732 458-8000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1750564209

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D1088116
LAB Type	Physician Office
Facility Name	JERSEY COAST FAMILY MEDICINE LLC
Street	495 JACK MARTIN BOULEVARD, SUITE 5
City	BRICK
State	NJ
ZIP	08724
Phone	732 458-8000
CertificateType	3
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	PPMP

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