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31D2117496 CLIA NUMBER - VICTORY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 31D2117496

Facility Name: VICTORY MEDICAL CLINIC

Facility Address:
433 SAND SHORE ROAD
HACKETTSTOWN, NJ
ZIP 07840
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Facility Phone Number: 862 254-2299

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1013367465

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 31D2117496
LAB Type Physician Office
Facility Name VICTORY MEDICAL CLINIC
Street 433 SAND SHORE ROAD
City HACKETTSTOWN
State NJ
ZIP 07840
Phone 862 254-2299
CertificateType 4
CertificateEffectiveDate 8/17/2022
CertificateExpirationDate 8/16/2024
FacilityType Waiver

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