31D2112175 CLIA NUMBER - LAKEWOOD IMMEDIATE CARE

Laboratory Demographics

CLIA Number: 31D2112175

Facility Name: LAKEWOOD IMMEDIATE CARE

Facility Address:
1700 MADISON AVENUE
LAKEWOOD, NJ
ZIP 08701
Get Directions

Facility Phone Number: 732 987-6149

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972909265

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	31D2112175
LAB Type	Physician Office
Facility Name	LAKEWOOD IMMEDIATE CARE
Street	1700 MADISON AVENUE
City	LAKEWOOD
State	NJ
ZIP	08701
Phone	732 987-6149
CertificateType	4
CertificateEffectiveDate	4/25/2024
CertificateExpirationDate	4/24/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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