31D2236290 CLIA NUMBER - BH BRIGHTVIEW MOUNT LAUREL OPCO LLC

Laboratory Demographics

  • CLIA Code: 31D2236290
  • Facility Name: BH BRIGHTVIEW MOUNT LAUREL OPCO LLC
  • Facility Address: 400 FERNBROOKE LANE
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 856 222-1213
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAVANDA CLINKSCALES
  • NPI Number: 1871131508
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2236290
LAB Type Assisted Living Facility
Facility Name BH BRIGHTVIEW MOUNT LAUREL OPCO LLC
Street 400 FERNBROOKE LANE
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 856 222-1213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Assisted Living Facility
Lab Director LAVANDA CLINKSCALES

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