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31D1084205 CLIA NUMBER - COMPASSIONATE CARE HOSPICE OF NORTHERN NJ, LLC

Laboratory Demographics

CLIA Number: 31D1084205

Facility Name: COMPASSIONATE CARE HOSPICE OF NORTHERN NJ, LLC

Facility Address:
500 INTERNATIONAL DRIVE, SUITE 333
BUDD LAKE, NJ
ZIP 07828
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Facility Phone Number: 973 383-7510

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1376791657

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 31D1084205
LAB Type Hospice
Facility Name COMPASSIONATE CARE HOSPICE OF NORTHERN NJ, LLC
Street 500 INTERNATIONAL DRIVE, SUITE 333
City BUDD LAKE
State NJ
ZIP 07828
Phone 973 383-7510
CertificateType 4
CertificateEffectiveDate 5/19/2022
CertificateExpirationDate 5/18/2024
FacilityType Waiver

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