31D2020325 CLIA NUMBER - SEABROOK HOUSE, INC

Laboratory Demographics

  • CLIA Code: 31D2020325
  • Facility Name: SEABROOK HOUSE, INC
  • Facility Address: 133 POLK LANE
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 856 455-7575
  • Facility Type: Other - NON-PROFIT INPATIENT/OUTP
  • Facility Type: Waiver
  • Lab Director: DAVID RUSSO
  • NPI Number: 1922628502
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2020325
LAB Type Other - NON-PROFIT INPATIENT/OUTP
Facility Name SEABROOK HOUSE, INC
Street 133 POLK LANE
City BRIDGETON
State NJ
ZIP 08302
Phone 856 455-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Other - NON-PROFIT INPATIENT/OUTP
Lab Director DAVID RUSSO

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