31D2081697 CLIA NUMBER - WALL TOWNSHIP HOME TRAINING

Laboratory Demographics

  • CLIA Code: 31D2081697
  • Facility Name: WALL TOWNSHIP HOME TRAINING
  • Facility Address: 5100 BELMAR BOULEVARD, SUITE 1
    FARMINGDALE, NJ
    ZIP 07727
  • Facility Phone: 732 938-2780
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUSHIL MEHANDRU
  • NPI Number: 1609289230
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2081697
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WALL TOWNSHIP HOME TRAINING
Street 5100 BELMAR BOULEVARD, SUITE 1
City FARMINGDALE
State NJ
ZIP 07727
Phone 732 938-2780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUSHIL MEHANDRU

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