31D2069552 CLIA NUMBER - ADDISON OF SOMERS PLACE, THE

Laboratory Demographics

  • CLIA Code: 31D2069552
  • Facility Name: ADDISON OF SOMERS PLACE, THE
  • Facility Address: 199 STEELMANVILLE ROAD
    EGG HARBOR TWP, NJ
    ZIP 08234
  • Facility Phone: 609 926-5891
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KARINE MENDEZ
  • NPI Number: 1912395468
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2069552
LAB Type Assisted Living Facility
Facility Name ADDISON OF SOMERS PLACE, THE
Street 199 STEELMANVILLE ROAD
City EGG HARBOR TWP
State NJ
ZIP 08234
Phone 609 926-5891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Assisted Living Facility
Lab Director KARINE MENDEZ

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