31D2194568 CLIA NUMBER - MIRA VIE AT TINTON FALLS

Laboratory Demographics

  • CLIA Code: 31D2194568
  • Facility Name: MIRA VIE AT TINTON FALLS
  • Facility Address: 1 HARTFORD DRIVE
    TINTON FALLS, NJ
    ZIP 07701
  • Facility Phone: (732) 933-4700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CRAIG J. SYDOR
  • NPI Number: 1275381089
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2194568
LAB Type Assisted Living Facility
Facility Name MIRA VIE AT TINTON FALLS
Street 1 HARTFORD DRIVE
City TINTON FALLS
State NJ
ZIP 07701
Phone 7329334700
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 CRAIG J. SYDOR

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This page was last updated on: 5/15/2026