31D2288701 CLIA NUMBER - RHA HEALTH SERVICES, LLC LAUREL LANE GROUP HOME

Laboratory Demographics

CLIA Code: 31D2288701
Facility Name: RHA HEALTH SERVICES, LLC LAUREL LANE GROUP HOME
Facility Address: 110 LAUREL LANE
MOUNT LAUREL, NJ
ZIP 08054
Facility Phone: 201 317-2137
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: ELIMI DE LA ROSA
NPI Number: 1679324123
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	31D2288701
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES, LLC LAUREL LANE GROUP HOME
Street	110 LAUREL LANE
City	MOUNT LAUREL
State	NJ
ZIP	08054
Phone	201 317-2137
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/29/2025
Certificate Expiration Date	8/28/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	ELIMI DE LA ROSA

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