31D2072955 CLIA NUMBER - HOLLAND CHRISTIAN HOME

Laboratory Demographics

  • CLIA Code: 31D2072955
  • Facility Name: HOLLAND CHRISTIAN HOME
  • Facility Address: 151 GRAHAM AVENUE
    NORTH HALEDON, NJ
    ZIP 07508
  • Facility Phone: 973 427-4087
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW VAN ORDEN
  • NPI Number: 1336367481
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2072955
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLAND CHRISTIAN HOME
Street 151 GRAHAM AVENUE
City NORTH HALEDON
State NJ
ZIP 07508
Phone 973 427-4087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANDREW VAN ORDEN

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This page was last updated on: 3/20/2025