31D1066463 CLIA NUMBER - HASKELL TOWNE MEDICAL

Laboratory Demographics

  • CLIA Code: 31D1066463
  • Facility Name: HASKELL TOWNE MEDICAL
  • Facility Address: 1141 RINGWOOD AVENUE, SUITE 7
    HASKELL, NJ
    ZIP 07420
  • Facility Phone: 973 835-6777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY T. SMITH DO
  • NPI Number: 1497948665
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D1066463
LAB Type Physician Office
Facility Name HASKELL TOWNE MEDICAL
Street 1141 RINGWOOD AVENUE, SUITE 7
City HASKELL
State NJ
ZIP 07420
Phone 973 835-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director JEFFREY T. SMITH DO

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