31D0948037 CLIA NUMBER - TOWER LODGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 31D0948037
  • Facility Name: TOWER LODGE CARE CENTER
  • Facility Address: 1506 GULLY ROAD
    WALL, NJ
    ZIP 07719
  • Facility Phone: 732 681-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOB FISHER
  • NPI Number: 1811089626
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0948037
LAB Type Physician Office
Facility Name TOWER LODGE CARE CENTER
Street 1506 GULLY ROAD
City WALL
State NJ
ZIP 07719
Phone 732 681-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director JACOB FISHER

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