31D2165949 CLIA NUMBER - ACTIVE DAY OF HAMILTON

Laboratory Demographics

CLIA Number: 31D2165949

Facility Name: ACTIVE DAY OF HAMILTON

Facility Address:
410 WHITEHEAD ROAD
HAMILTON TWP, NJ
ZIP 08619
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Facility Phone Number: 215 642-6269

Facility Type: Other - ADULT DAY CARE

Certificate Type: Waiver

NPI Number: 1386770295

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2165949
LAB Type	Other - ADULT DAY CARE
Facility Name	ACTIVE DAY OF HAMILTON
Street	410 WHITEHEAD ROAD
City	HAMILTON TWP
State	NJ
ZIP	08619
Phone	215 642-6269
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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