31D0652879 CLIA NUMBER - DAUGHTERS OF ISRAEL NURSING HOME

Laboratory Demographics

  • CLIA Code: 31D0652879
  • Facility Name: DAUGHTERS OF ISRAEL NURSING HOME
  • Facility Address: 1155 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 731-5100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MUTHU ARUNACHALAM
  • NPI Number: 1952463044
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0652879
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DAUGHTERS OF ISRAEL NURSING HOME
Street 1155 PLEASANT VALLEY WAY
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 731-5100
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 MUTHU ARUNACHALAM

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