31D2285868 CLIA NUMBER - CENTER FOR NETWORK THERAPY, LLP

Laboratory Demographics

CLIA Number: 31D2285868

Facility Name: CENTER FOR NETWORK THERAPY, LLP

Facility Address:
81 NORTHFIELD AVE, STE 104
WEST ORANGE, NJ
ZIP 07052
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Facility Phone Number: 973 731-1375

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1053813600

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 31D2285868
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CENTER FOR NETWORK THERAPY, LLP
Street 81 NORTHFIELD AVE, STE 104
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 731-1375
CertificateType 4
CertificateEffectiveDate 7/19/2023
CertificateExpirationDate 7/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024