31D2098425 CLIA NUMBER - MONROE TOWNSHIP DIALYSIS

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Laboratory Demographics

CLIA Number: 31D2098425

Facility Name: MONROE TOWNSHIP DIALYSIS

Facility Address:
298 APPLEGARTH ROAD, SUITE A
MONROE TOWNSHIP, NJ
ZIP 08831
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Facility Phone Number: 609 409-4259

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407243751

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2098425
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MONROE TOWNSHIP DIALYSIS
Street	298 APPLEGARTH ROAD, SUITE A
City	MONROE TOWNSHIP
State	NJ
ZIP	08831
Phone	609 409-4259
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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