31D2194549 CLIA NUMBER - SUNRISE ASSISTED LIVING OF RANDOLPH

Laboratory Demographics

  • CLIA Code: 31D2194549
  • Facility Name: SUNRISE ASSISTED LIVING OF RANDOLPH
  • Facility Address: 648 ROUTE 10 WEST
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 328-1922
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BESARTA ARSLLANI
  • NPI Number: 1174677538
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2194549
LAB Type Assisted Living Facility
Facility Name SUNRISE ASSISTED LIVING OF RANDOLPH
Street 648 ROUTE 10 WEST
City RANDOLPH
State NJ
ZIP 07869
Phone 973 328-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Assisted Living Facility
Lab Director BESARTA ARSLLANI

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