31D2247639 CLIA NUMBER - SEA GIRT BOE

Laboratory Demographics

CLIA Number: 31D2247639

Facility Name: SEA GIRT BOE

Facility Address:
451 BELL PLACE
SEA GIRT, NJ
ZIP 08750
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Facility Phone Number: 732 449-3422

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1588782874

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	31D2247639
LAB Type	School/Student Health Service
Facility Name	SEA GIRT BOE
Street	451 BELL PLACE
City	SEA GIRT
State	NJ
ZIP	08750
Phone	732 449-3422
CertificateType	4
CertificateEffectiveDate	1/7/2024
CertificateExpirationDate	1/6/2026
FacilityType	Waiver

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