31D2199729 CLIA NUMBER - SHREWSBURY FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 31D2199729

Facility Name: SHREWSBURY FAMILY MEDICINE

Facility Address:
655 SHREWSBURY AVE
SHREWSBURY, NJ
ZIP 07702
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Facility Phone Number: 732 460-9840

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376823500

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	31D2199729
LAB Type	Physician Office
Facility Name	SHREWSBURY FAMILY MEDICINE
Street	655 SHREWSBURY AVE
City	SHREWSBURY
State	NJ
ZIP	07702
Phone	732 460-9840
CertificateType	4
CertificateEffectiveDate	11/10/2022
CertificateExpirationDate	11/9/2024
FacilityType	Waiver

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