31D2210250 CLIA NUMBER - COMMUNITY IMPROVEMENT HEALTH OUTREACH

Laboratory Demographics

CLIA Code: 31D2210250
Facility Name: COMMUNITY IMPROVEMENT HEALTH OUTREACH
Facility Address: 84 PARK TERRACE
WEST ORANGE, NJ
ZIP 07052
Facility Phone: 973 280-1668
Facility Type: Mobile Laboratory
Facility Type: Waiver
Lab Director: TOMICKA S. MCMILLION
NPI Number: 1447629894
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	31D2210250
LAB Type	Mobile Laboratory
Facility Name	COMMUNITY IMPROVEMENT HEALTH OUTREACH
Street	84 PARK TERRACE
City	WEST ORANGE
State	NJ
ZIP	07052
Phone	973 280-1668
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/20/2025
Certificate Expiration Date	1/19/2027
Facility Type	Mobile Laboratory
Lab Director	TOMICKA S. MCMILLION

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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