31D2206581 CLIA NUMBER - BRANDYWINE LIVING AT THE GABLES

Laboratory Demographics

  • CLIA Code: 31D2206581
  • Facility Name: BRANDYWINE LIVING AT THE GABLES
  • Facility Address: 515 JACK MARTIN BLVD
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 836-1400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARILYN A. GOLDSTEIN
  • NPI Number: 1225189822
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2206581
LAB Type Assisted Living Facility
Facility Name BRANDYWINE LIVING AT THE GABLES
Street 515 JACK MARTIN BLVD
City BRICK
State NJ
ZIP 08724
Phone 732 836-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Assisted Living Facility
Lab Director MARILYN A. GOLDSTEIN

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