31D2132644 CLIA NUMBER - OCEAN MONMOUTH CARE

Laboratory Demographics

CLIA Number: 31D2132644

Facility Name: OCEAN MONMOUTH CARE

Facility Address:
150 BRICK BLVD
BRICK, NJ
ZIP 08723
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Facility Phone Number: 732 458-2180

Facility Type: Other - ALCOHOL DRUG TRMT

Certificate Type: Waiver

NPI Number: 1275851917

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	31D2132644
LAB Type	Other - ALCOHOL DRUG TRMT
Facility Name	OCEAN MONMOUTH CARE
Street	150 BRICK BLVD
City	BRICK
State	NJ
ZIP	08723
Phone	732 458-2180
CertificateType	4
CertificateEffectiveDate	6/26/2023
CertificateExpirationDate	6/25/2025
FacilityType	Waiver

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