31D2194262 CLIA NUMBER - COASTAL HEMATOLOGY & ONCOLOGY CENTER

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Laboratory Demographics

CLIA Number: 31D2194262

Facility Name: COASTAL HEMATOLOGY & ONCOLOGY CENTER

Facility Address:
226 ROUTE 37 WEST UNIT #6
MANASQUAN, NJ
ZIP 08736
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Facility Phone Number: 732 930-2611

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1801451679

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	31D2194262
LAB Type	Physician Office
Facility Name	COASTAL HEMATOLOGY & ONCOLOGY CENTER
Street	226 ROUTE 37 WEST UNIT #6
City	MANASQUAN
State	NJ
ZIP	08736
Phone	732 930-2611
CertificateType	1
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Accreditation

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