31D0721711 CLIA NUMBER - RANDOLPH TOWNSHIP HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 31D0721711
  • Facility Name: RANDOLPH TOWNSHIP HEALTH DEPARTMENT
  • Facility Address: 502 MILLBROOK AVENUE
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 989-7050
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK CAPUTO
  • NPI Number: 1134306327
  • Taxonomy: 251K00000X - Public Health or Welfare

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0721711
LAB Type Other
Facility Name RANDOLPH TOWNSHIP HEALTH DEPARTMENT
Street 502 MILLBROOK AVENUE
City RANDOLPH
State NJ
ZIP 07869
Phone 973 989-7050
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 Other
Lab Director MARK CAPUTO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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