31D0910324 CLIA NUMBER - LONG BRANCH HIGH SCHOOL SCHOOL BASED CLINIC

Laboratory Demographics

  • CLIA Code: 31D0910324
  • Facility Name: LONG BRANCH HIGH SCHOOL SCHOOL BASED CLINIC
  • Facility Address: SBYSP LBSH ATTN KATHY CELLI 404 INDIANA AVENUE
    LONG BRANCH, NJ
    ZIP 07740
  • Facility Phone: 732 728-9533
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KATHY CELLI
  • NPI Number: 1992891865
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0910324
LAB Type School/Student Health Service
Facility Name LONG BRANCH HIGH SCHOOL SCHOOL BASED CLINIC
Street SBYSP LBSH ATTN KATHY CELLI 404 INDIANA AVENUE
City LONG BRANCH
State NJ
ZIP 07740
Phone 732 728-9533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type School/Student Health Service
Lab Director KATHY CELLI

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