31D2172544 CLIA NUMBER - ADVANCED CLINICAL INSTITUTE INC

Laboratory Demographics

  • CLIA Code: 31D2172544
  • Facility Name: ADVANCED CLINICAL INSTITUTE INC
  • Facility Address: 185 STATE HIGHWAY 36 BLDG A, SUITE 115
    WEST LONG BRANCH, NJ
    ZIP 07764
  • Facility Phone: 732 807-4700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARK W. ORNSTEIN
  • NPI Number: 1851435259
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2172544
LAB Type Practitioner Other
Facility Name ADVANCED CLINICAL INSTITUTE INC
Street 185 STATE HIGHWAY 36 BLDG A, SUITE 115
City WEST LONG BRANCH
State NJ
ZIP 07764
Phone 732 807-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Practitioner Other
Lab Director MARK W. ORNSTEIN

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