31D2111845 CLIA NUMBER - EPIC HEALTH SERVICE D/B/A AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 31D2111845
  • Facility Name: EPIC HEALTH SERVICE D/B/A AVEANNA HEALTHCARE
  • Facility Address: 77 BRANT AVENUE SUITE 320
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 973 510-0120
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NADIA DELLIL
  • NPI Number: 1841690070
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2111845
LAB Type Home Health Agency
Facility Name EPIC HEALTH SERVICE D/B/A AVEANNA HEALTHCARE
Street 77 BRANT AVENUE SUITE 320
City CLARK
State NJ
ZIP 07066
Phone 973 510-0120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Home Health Agency
Lab Director NADIA DELLIL

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