31D2195567 CLIA NUMBER - SUNRISE ASSISTED LIVING OF WALL

Laboratory Demographics

  • CLIA Code: 31D2195567
  • Facility Name: SUNRISE ASSISTED LIVING OF WALL
  • Facility Address: 2600 ALLAIRE ROAD
    WALL, NJ
    ZIP 07719
  • Facility Phone: 732 282-1700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALEXIA CARBALLO
  • NPI Number: 1124172408
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2195567
LAB Type Assisted Living Facility
Facility Name SUNRISE ASSISTED LIVING OF WALL
Street 2600 ALLAIRE ROAD
City WALL
State NJ
ZIP 07719
Phone 732 282-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Assisted Living Facility
Lab Director ALEXIA CARBALLO

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