31D2133297 CLIA NUMBER - JACKSON TOWNSHIP DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2133297
  • Facility Name: JACKSON TOWNSHIP DIALYSIS
  • Facility Address: 260 N COUNTY LINE ROAD, SUITE 120
    JACKSON, NJ
    ZIP 08527
  • Facility Phone: 732 364-2055
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES J. MATERA
  • NPI Number: 1902346851
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2133297
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JACKSON TOWNSHIP DIALYSIS
Street 260 N COUNTY LINE ROAD, SUITE 120
City JACKSON
State NJ
ZIP 08527
Phone 732 364-2055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES J. MATERA

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