31D2118287 CLIA NUMBER - WG TINTON FALLS SH, LLC

Laboratory Demographics

  • CLIA Code: 31D2118287
  • Facility Name: WG TINTON FALLS SH, LLC
  • Facility Address: 44 PINE STREET
    TINTON FALLS, NJ
    ZIP 07753
  • Facility Phone: 732 918-1960
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN GREEN
  • NPI Number: 1659597094
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2118287
LAB Type Assisted Living Facility
Facility Name WG TINTON FALLS SH, LLC
Street 44 PINE STREET
City TINTON FALLS
State NJ
ZIP 07753
Phone 732 918-1960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Assisted Living Facility
Lab Director KEVIN GREEN

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