31D2114697 CLIA NUMBER - BRIGHTVIEW WARREN, LLC (DBA BRIGHTVIEW WARREN)

Laboratory Demographics

CLIA Number: 31D2114697

Facility Name: BRIGHTVIEW WARREN, LLC (DBA BRIGHTVIEW WARREN)

Facility Address:
57 MT BETHEL ROAD
WARREN, NJ
ZIP 07059
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Facility Phone Number: 908 756-3790

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1245680826

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	31D2114697
LAB Type	Assisted Living Facility
Facility Name	BRIGHTVIEW WARREN, LLC (DBA BRIGHTVIEW WARREN)
Street	57 MT BETHEL ROAD
City	WARREN
State	NJ
ZIP	07059
Phone	908 756-3790
CertificateType	4
CertificateEffectiveDate	6/20/2022
CertificateExpirationDate	6/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024