31D0952982 CLIA NUMBER - NEW COMMUNITY EXTENDED CARE

Laboratory Demographics

CLIA Number: 31D0952982

Facility Name: NEW COMMUNITY EXTENDED CARE

Facility Address:
266 SOUTH ORANGE AVENUE
NEWARK, NJ
ZIP 07103
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Facility Phone Number: 973 624-2020

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1164551883

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0952982
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	NEW COMMUNITY EXTENDED CARE
Street	266 SOUTH ORANGE AVENUE
City	NEWARK
State	NJ
ZIP	07103
Phone	973 624-2020
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024