31D2123262 CLIA NUMBER - ADVANCED SHORE IMAGING

Laboratory Demographics

  • CLIA Code: 31D2123262
  • Facility Name: ADVANCED SHORE IMAGING
  • Facility Address: 2605 SHORE ROAD
    NORTHFIELD, NJ
    ZIP 08225
  • Facility Phone: 609 380-4175
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: THOMAS YU
  • NPI Number: 1164808812
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2123262
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name ADVANCED SHORE IMAGING
Street 2605 SHORE ROAD
City NORTHFIELD
State NJ
ZIP 08225
Phone 609 380-4175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director THOMAS YU

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