31D0684432 CLIA NUMBER - SPRING GROVE REHABILITATION & HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 31D0684432
  • Facility Name: SPRING GROVE REHABILITATION & HEALTHCARE CENTER
  • Facility Address: 144 GALES DR
    NEW PROVIDENCE, NJ
    ZIP 07974
  • Facility Phone: 908 464-8600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMIR P. PATEL
  • NPI Number: 1487151940
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0684432
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRING GROVE REHABILITATION & HEALTHCARE CENTER
Street 144 GALES DR
City NEW PROVIDENCE
State NJ
ZIP 07974
Phone 908 464-8600
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 SAMIR P. PATEL

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