31D1015966 CLIA NUMBER - SKYLAND MEDICAL CARE

Laboratory Demographics

CLIA Number: 31D1015966

Facility Name: SKYLAND MEDICAL CARE

Facility Address:
117 SEBER ROAD SUITE 2B DOCTOR'S PARK
HACKETTSTOWN, NJ
ZIP 07840
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Facility Phone Number: 908 684-0684

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144665522

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D1015966
LAB Type	Physician Office
Facility Name	SKYLAND MEDICAL CARE
Street	117 SEBER ROAD SUITE 2B DOCTOR'S PARK
City	HACKETTSTOWN
State	NJ
ZIP	07840
Phone	908 684-0684
CertificateType	4
CertificateEffectiveDate	8/18/2023
CertificateExpirationDate	8/17/2025
FacilityType	Waiver

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