31D2056428 CLIA NUMBER - ADVANCED MEDICINE PC

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Laboratory Demographics

CLIA Number: 31D2056428

Facility Name: ADVANCED MEDICINE PC

Facility Address:
186 COUNTY ROAD 520 SUITE 1
MORGANVILLE, NJ
ZIP 07751
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Facility Phone Number: 732 851-4955

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235378175

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2056428
LAB Type	Physician Office
Facility Name	ADVANCED MEDICINE PC
Street	186 COUNTY ROAD 520 SUITE 1
City	MORGANVILLE
State	NJ
ZIP	07751
Phone	732 851-4955
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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