31D2197565 CLIA NUMBER - WELLINGTON ESTATES LLC

Laboratory Demographics

  • CLIA Code: 31D2197565
  • Facility Name: WELLINGTON ESTATES LLC
  • Facility Address: 2018 ROUTE 35 REALTY LLC
    SPRING LAKE, NJ
    ZIP 07762
  • Facility Phone: 732 282-1014
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALEXIS COMODORE
  • NPI Number: 1114447489
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2197565
LAB Type Assisted Living Facility
Facility Name WELLINGTON ESTATES LLC
Street 2018 ROUTE 35 REALTY LLC
City SPRING LAKE
State NJ
ZIP 07762
Phone 732 282-1014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Assisted Living Facility
Lab Director ALEXIS COMODORE

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