31D0936000 CLIA NUMBER - LINCOLN PARK SUBACUTE AND REHAB CTR INC ONE

Laboratory Demographics

  • CLIA Code: 31D0936000
  • Facility Name: LINCOLN PARK SUBACUTE AND REHAB CTR INC ONE
  • Facility Address: 521 PINE BROOK ROAD
    LINCOLN PARK, NJ
    ZIP 07035
  • Facility Phone: 973 696-3300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HOOSHANG KIPIANI
  • NPI Number: 1689910432
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0936000
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LINCOLN PARK SUBACUTE AND REHAB CTR INC ONE
Street 521 PINE BROOK ROAD
City LINCOLN PARK
State NJ
ZIP 07035
Phone 973 696-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HOOSHANG KIPIANI

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