31D2011571 CLIA NUMBER - COASTAL ENDO, LLC

Laboratory Demographics

  • CLIA Code: 31D2011571
  • Facility Name: COASTAL ENDO, LLC
  • Facility Address: 175 GUNNING RIVER RD BLDG A, UNIT 4
    BARNEGAT, NJ
    ZIP 08005
  • Facility Phone: (609) 654-0230
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NEAL J. WINZELBERG
  • NPI Number: 1063996734
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2011571
LAB Type Ambulatory Surgery Center
Facility Name COASTAL ENDO, LLC
Street 175 GUNNING RIVER RD BLDG A, UNIT 4
City BARNEGAT
State NJ
ZIP 08005
Phone 6096540230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Ambulatory Surgery Center
Lab Director NEAL J. WINZELBERG

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This page was last updated on: 5/18/2026