31D2194904 CLIA NUMBER - SOUTH JERSEY EXTENDED CARE

Laboratory Demographics

  • CLIA Code: 31D2194904
  • Facility Name: SOUTH JERSEY EXTENDED CARE
  • Facility Address: 99 MANHEIM AVE
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 856 455-2100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JASON M. CHADWICK
  • NPI Number: 1720096035
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2194904
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH JERSEY EXTENDED CARE
Street 99 MANHEIM AVE
City BRIDGETON
State NJ
ZIP 08302
Phone 856 455-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JASON M. CHADWICK

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