31D1103470 CLIA NUMBER - PATRICIA C MCCORMACK, MD

Laboratory Demographics

  • CLIA Code: 31D1103470
  • Facility Name: PATRICIA C MCCORMACK, MD
  • Facility Address: 407 RICHMOND AVENUE
    POINT PLEASANT BEACH, NJ
    ZIP 08742
  • Facility Phone: 732 295-1331
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID A. KIKEN
  • NPI Number: 1972942159
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D1103470
LAB Type Physician Office
Facility Name PATRICIA C MCCORMACK, MD
Street 407 RICHMOND AVENUE
City POINT PLEASANT BEACH
State NJ
ZIP 08742
Phone 732 295-1331
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DAVID A. KIKEN

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