31D2130542 CLIA NUMBER - SHORE SPECIALTY CONSULTANTS

Laboratory Demographics

CLIA Number: 31D2130542

Facility Name: SHORE SPECIALTY CONSULTANTS

Facility Address:
18 W NEW YORK AVE
SOMERS POINT, NJ
ZIP 08244
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Facility Phone Number: 609 365-5300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962808519

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2130542
LAB Type	Physician Office
Facility Name	SHORE SPECIALTY CONSULTANTS
Street	18 W NEW YORK AVE
City	SOMERS POINT
State	NJ
ZIP	08244
Phone	609 365-5300
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

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