31D2026958 CLIA NUMBER - SOUTHERN OCEAN COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2026958
  • Facility Name: SOUTHERN OCEAN COUNTY DIALYSIS
  • Facility Address: 1301 ROUTE 72 WEST, STE 110 HEALTH SOUTH
    MANAHAWKIN, NJ
    ZIP 08050
  • Facility Phone: 609 597-0483
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN ELLIS
  • NPI Number: 1063808970
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2026958
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHERN OCEAN COUNTY DIALYSIS
Street 1301 ROUTE 72 WEST, STE 110 HEALTH SOUTH
City MANAHAWKIN
State NJ
ZIP 08050
Phone 609 597-0483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEPHEN ELLIS

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