31D2128166 CLIA NUMBER - JRF COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 31D2128166

Facility Name: JRF COMMUNITY HEALTH CENTER

Facility Address:
1931 OAK TREE ROAD (LOWER LEVEL)
EDISON, NJ
ZIP 08820
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Facility Phone Number: 732 482-9600

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1952770927

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2128166
LAB Type	Federally Qualified Health Center
Facility Name	JRF COMMUNITY HEALTH CENTER
Street	1931 OAK TREE ROAD (LOWER LEVEL)
City	EDISON
State	NJ
ZIP	08820
Phone	732 482-9600
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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