31D2200495 CLIA NUMBER - LAUREL BROOK OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 31D2200495
  • Facility Name: LAUREL BROOK OPERATOR, LLC
  • Facility Address: 3718 CHURCH ROAD
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 856 235-7100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDRE JAY BLANK
  • NPI Number: 1376063651
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2200495
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAUREL BROOK OPERATOR, LLC
Street 3718 CHURCH ROAD
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 856 235-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANDRE JAY BLANK

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This page was last updated on: 6/4/2025