31D2132433 CLIA NUMBER - ATLANTIC HOSPICE D/B/A ANGELIC HOSPICE

Laboratory Demographics

  • CLIA Code: 31D2132433
  • Facility Name: ATLANTIC HOSPICE D/B/A ANGELIC HOSPICE
  • Facility Address: 8025 BLACK HORSE PIKE SUITE 501
    PLEASANTVILLE, NJ
    ZIP 08232
  • Facility Phone: 609 822-7979
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRISTINE COUNCILLOR
  • NPI Number: 1194169995
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 31D2132433
LAB Type Hospice
Facility Name ATLANTIC HOSPICE D/B/A ANGELIC HOSPICE
Street 8025 BLACK HORSE PIKE SUITE 501
City PLEASANTVILLE
State NJ
ZIP 08232
Phone 609 822-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Hospice
Lab Director KRISTINE COUNCILLOR

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