31D0875168 CLIA NUMBER - POMPTON LAKES BOARD OF HEALTH

Laboratory Demographics

  • CLIA Code: 31D0875168
  • Facility Name: POMPTON LAKES BOARD OF HEALTH
  • Facility Address: 25 LENOX AVE
    POMPTON LAKES, NJ
    ZIP 07442
  • Facility Phone: 201 835-0143
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SUSAN MAROTTA
  • NPI Number: 1922369800
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D0875168
LAB Type Community Clinic
Facility Name POMPTON LAKES BOARD OF HEALTH
Street 25 LENOX AVE
City POMPTON LAKES
State NJ
ZIP 07442
Phone 201 835-0143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Community Clinic
Lab Director SUSAN MAROTTA

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