31D1076257 CLIA NUMBER - TRISTATE HEALTH & HOMECARE AGENCY INC

Laboratory Demographics

  • CLIA Code: 31D1076257
  • Facility Name: TRISTATE HEALTH & HOMECARE AGENCY INC
  • Facility Address: 251 OSBORNE TERRACE
    NEWARK, NJ
    ZIP 07112
  • Facility Phone: 973 923-8887
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ABIOLA AGBOOLA
  • NPI Number: 1841405800
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 31D1076257
LAB Type Other
Facility Name TRISTATE HEALTH & HOMECARE AGENCY INC
Street 251 OSBORNE TERRACE
City NEWARK
State NJ
ZIP 07112
Phone 973 923-8887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Other
Lab Director ABIOLA AGBOOLA

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This page was last updated on: 6/4/2025