31D2105066 CLIA NUMBER - ELITE HOMECARE, LLC

Laboratory Demographics

  • CLIA Code: 31D2105066
  • Facility Name: ELITE HOMECARE, LLC
  • Facility Address: 1215 LIVINGSTON AVENUE, SUITE 5
    NORTH BRUNSWICK, NJ
    ZIP 08902
  • Facility Phone: 732 964-0062
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KIM OLUFADE
  • NPI Number: 1750775078
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2105066
LAB Type Home Health Agency
Facility Name ELITE HOMECARE, LLC
Street 1215 LIVINGSTON AVENUE, SUITE 5
City NORTH BRUNSWICK
State NJ
ZIP 08902
Phone 732 964-0062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Home Health Agency
Lab Director KIM OLUFADE

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