31D2128179 CLIA NUMBER - JEFFSTAT4

Laboratory Demographics

  • CLIA Code: 31D2128179
  • Facility Name: JEFFSTAT4
  • Facility Address: 650 HENRY DECINQUE BOULEVARD
    WOODBINE, NJ
    ZIP 08270
  • Facility Phone: 609 407-6360
  • Facility Type: Other - MEDEVAC HELICOPTER
  • Facility Type: Waiver
  • Lab Director: BRETT GREENFIELD
  • NPI Number: 1093353245
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2128179
LAB Type Other - MEDEVAC HELICOPTER
Facility Name JEFFSTAT4
Street 650 HENRY DECINQUE BOULEVARD
City WOODBINE
State NJ
ZIP 08270
Phone 609 407-6360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Other - MEDEVAC HELICOPTER
Lab Director BRETT GREENFIELD

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