31D2206322 CLIA NUMBER - FOX TRAIL DEPTFORD

Laboratory Demographics

  • CLIA Code: 31D2206322
  • Facility Name: FOX TRAIL DEPTFORD
  • Facility Address: 1674 DELSEA DRIVE
    DEPTFORD, NJ
    ZIP 08096
  • Facility Phone: 856 384-7750
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHARON GOSSNER
  • NPI Number: 1891206314
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2206322
LAB Type Assisted Living Facility
Facility Name FOX TRAIL DEPTFORD
Street 1674 DELSEA DRIVE
City DEPTFORD
State NJ
ZIP 08096
Phone 856 384-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Assisted Living Facility
Lab Director SHARON GOSSNER

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