31D2060958 CLIA NUMBER - MSE MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 31D2060958
  • Facility Name: MSE MEDICAL SERVICES
  • Facility Address: 382 W 9TH STREET SUITE 2
    SHIP BOTTOM, NJ
    ZIP 08008
  • Facility Phone: 609 361-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH P. CLANCY JR
  • NPI Number: 1346284635
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2060958
LAB Type Physician Office
Facility Name MSE MEDICAL SERVICES
Street 382 W 9TH STREET SUITE 2
City SHIP BOTTOM
State NJ
ZIP 08008
Phone 609 361-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director JOSEPH P. CLANCY JR

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