31D0116237 CLIA NUMBER - AUTUMN LAKE HEALTHCARE AT BERKLEY HEIGHTS

Laboratory Demographics

  • CLIA Code: 31D0116237
  • Facility Name: AUTUMN LAKE HEALTHCARE AT BERKLEY HEIGHTS
  • Facility Address: 35 COTTAGE STREET
    BERKELEY HEIGHTS, NJ
    ZIP 07922
  • Facility Phone: 908 464-0048
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TOM HOLLAND MD
  • NPI Number: 1225487028
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0116237
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN LAKE HEALTHCARE AT BERKLEY HEIGHTS
Street 35 COTTAGE STREET
City BERKELEY HEIGHTS
State NJ
ZIP 07922
Phone 908 464-0048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TOM HOLLAND MD

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