31D2205614 CLIA NUMBER - WILLOW SPRINGS OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 31D2205614
  • Facility Name: WILLOW SPRINGS OPERATOR, LLC
  • Facility Address: 1049 BURNT TAVERN ROAD
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 840-3700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL ROTHBERG
  • NPI Number: 1225413941
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2205614
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOW SPRINGS OPERATOR, LLC
Street 1049 BURNT TAVERN ROAD
City BRICK
State NJ
ZIP 08724
Phone 732 840-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL ROTHBERG

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