31D1048484 CLIA NUMBER - GRACE HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 31D1048484
  • Facility Name: GRACE HEALTHCARE SERVICES LLC
  • Facility Address: 105 FIELDCREST AVENUE SUITE 402
    EDISON, NJ
    ZIP 08837
  • Facility Phone: 732 225-4100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JILL F. LEVINE
  • NPI Number: 1285005272
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 31D1048484
LAB Type Hospice
Facility Name GRACE HEALTHCARE SERVICES LLC
Street 105 FIELDCREST AVENUE SUITE 402
City EDISON
State NJ
ZIP 08837
Phone 732 225-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Hospice
Lab Director JILL F. LEVINE

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