31D2209904 CLIA NUMBER - DE LA SALLE HALL

Laboratory Demographics

  • CLIA Code: 31D2209904
  • Facility Name: DE LA SALLE HALL
  • Facility Address: 810 NEWMAN SPRINGS ROAD
    LINCROFT, NJ
    ZIP 07738
  • Facility Phone: 732 530-9470
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH BOAK
  • NPI Number: 1336209824
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2209904
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DE LA SALLE HALL
Street 810 NEWMAN SPRINGS ROAD
City LINCROFT
State NJ
ZIP 07738
Phone 732 530-9470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOSEPH BOAK

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