31D2133131 CLIA NUMBER - FLORHAM PARK OPERATOR LLC

Laboratory Demographics

CLIA Number: 31D2133131

Facility Name: FLORHAM PARK OPERATOR LLC

Facility Address:
190 PARK AVENUE ATTRN ADMIN
FLORHAM PARK, NJ
ZIP 07932
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Facility Phone Number: 973 867-1500

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1518321215

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	31D2133131
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	FLORHAM PARK OPERATOR LLC
Street	190 PARK AVENUE ATTRN ADMIN
City	FLORHAM PARK
State	NJ
ZIP	07932
Phone	973 867-1500
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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