31D2039158 CLIA NUMBER - SPECTRUM FOR LIVING DEVELOPMENT

Laboratory Demographics

CLIA Code: 31D2039158
Facility Name: SPECTRUM FOR LIVING DEVELOPMENT
Facility Address: 50 BLANCHE AVENUE
CLOSTER, NJ
ZIP 07624
Facility Phone: 201 784-9400
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: SUSAN C. MANCUSO
NPI Number: 1710192364
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	31D2039158
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	SPECTRUM FOR LIVING DEVELOPMENT
Street	50 BLANCHE AVENUE
City	CLOSTER
State	NJ
ZIP	07624
Phone	201 784-9400
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/3/2024
Certificate Expiration Date	4/2/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SUSAN C. MANCUSO

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