31D2045378 CLIA NUMBER - ZUFALL HEALTH CENTER, INC

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Laboratory Demographics

CLIA Number: 31D2045378

Facility Name: ZUFALL HEALTH CENTER, INC

Facility Address:
117 SEBER ROAD, BUILDING # 5
HACKETTSTOWN, NJ
ZIP 07840
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Facility Phone Number: 908 452-5366

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1699034777

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2045378
LAB Type	Federally Qualified Health Center
Facility Name	ZUFALL HEALTH CENTER, INC
Street	117 SEBER ROAD, BUILDING # 5
City	HACKETTSTOWN
State	NJ
ZIP	07840
Phone	908 452-5366
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

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