10D2150815 CLIA NUMBER - SPARK INSPIRATION LABORATORY, LLC DBA SPARK LABS, LLC

Laboratory Demographics

  • CLIA Code: 10D2150815
  • Facility Name: SPARK INSPIRATION LABORATORY, LLC DBA SPARK LABS, LLC
  • Facility Address: 37 W CENTURY ROAD SUITE 100A
    PARAMUS, NJ
    ZIP 07652
  • Facility Phone: 786 391-0988
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ELLIS JACOBS
  • NPI Number: 1649765660
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2150815
LAB Type Independent
Facility Name SPARK INSPIRATION LABORATORY, LLC DBA SPARK LABS, LLC
Street 37 W CENTURY ROAD SUITE 100A
City PARAMUS
State NJ
ZIP 07652
Phone 786 391-0988
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Independent
Lab Director DR. ELLIS JACOBS

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This page was last updated on: 9/29/2025