31D0974966 CLIA NUMBER - SHADY LANE NURSING HOME

Laboratory Demographics

  • CLIA Code: 31D0974966
  • Facility Name: SHADY LANE NURSING HOME
  • Facility Address: COUNTY HOUSE ROAD
    CLARKSBORO, NJ
    ZIP 08020
  • Facility Phone: 856 423-0020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIANE WRIGHT
  • NPI Number: 1447384680
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0974966
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHADY LANE NURSING HOME
Street COUNTY HOUSE ROAD
City CLARKSBORO
State NJ
ZIP 08020
Phone 856 423-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DIANE WRIGHT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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