31D2075776 CLIA NUMBER - SHORE ATLANTIC GERIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 31D2075776
  • Facility Name: SHORE ATLANTIC GERIATRICS, LLC
  • Facility Address: 1740 BAYSHORE ROAD
    VILLAS, NJ
    ZIP 08251
  • Facility Phone: 609 886-4441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALOYSIUS ONWUKA
  • NPI Number: 1508882051
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2075776
LAB Type Physician Office
Facility Name SHORE ATLANTIC GERIATRICS, LLC
Street 1740 BAYSHORE ROAD
City VILLAS
State NJ
ZIP 08251
Phone 609 886-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director ALOYSIUS ONWUKA

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