31D2193156 CLIA NUMBER - BROOKDALE MONROE

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Laboratory Demographics

CLIA Number: 31D2193156

Facility Name: BROOKDALE MONROE

Facility Address:
380 FORSGATE DRIVE
MONROE, NJ
ZIP 08831
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Facility Phone Number: 609 409-7525

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1508922915

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	31D2193156
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE MONROE
Street	380 FORSGATE DRIVE
City	MONROE
State	NJ
ZIP	08831
Phone	609 409-7525
CertificateType	4
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	Waiver

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