31D2186646 CLIA NUMBER - NEW JERSEY CANCER AND BLOOD SPECIALISTS

Laboratory Demographics

CLIA Number: 31D2186646

Facility Name: NEW JERSEY CANCER AND BLOOD SPECIALISTS

Facility Address:
201 ROUTE 17 N FLR 11, STE 1100
RUTHERFORD, NJ
ZIP 07070
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Facility Phone Number: 631 663-4871

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1235260522

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	31D2186646
LAB Type	Independent
Facility Name	NEW JERSEY CANCER AND BLOOD SPECIALISTS
Street	201 ROUTE 17 N FLR 11, STE 1100
City	RUTHERFORD
State	NJ
ZIP	07070
Phone	631 663-4871
CertificateType	2
CertificateEffectiveDate	7/6/2022
CertificateExpirationDate	7/5/2024
FacilityType	Compliance

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