31D2195955 CLIA NUMBER - BROOKDALE WEST ORANGE

Laboratory Demographics

  • CLIA Code: 31D2195955
  • Facility Name: BROOKDALE WEST ORANGE
  • Facility Address: 520 PROSPECT AVENUE
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 325-5700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAY W. BROOKS
  • NPI Number: 1518001817
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2195955
LAB Type Assisted Living Facility
Facility Name BROOKDALE WEST ORANGE
Street 520 PROSPECT AVENUE
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 325-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Assisted Living Facility
Lab Director JAY W. BROOKS

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