31D2310781 CLIA NUMBER - COASTAL INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D2310781
  • Facility Name: COASTAL INTERNAL MEDICINE
  • Facility Address: 500 CANDLEWOOD COMMONS
    HOWELL, NJ
    ZIP 07731
  • Facility Phone: 848 285-4671
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN VITALI
  • NPI Number: 1881265817
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2310781
LAB Type Physician Office
Facility Name COASTAL INTERNAL MEDICINE
Street 500 CANDLEWOOD COMMONS
City HOWELL
State NJ
ZIP 07731
Phone 848 285-4671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director JOHN VITALI

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This page was last updated on: 6/4/2025