31D2295840 CLIA NUMBER - FAITH HOSPICE CARE LLC

Laboratory Demographics

  • CLIA Code: 31D2295840
  • Facility Name: FAITH HOSPICE CARE LLC
  • Facility Address: 383 US HIGHWAY 46 SUITE 302
    FAIRFIELD, NJ
    ZIP 07004
  • Facility Phone: 973 244-2480
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GEETAKUMARI B. FOFANDI
  • NPI Number: 1003695370
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 31D2295840
LAB Type Hospice
Facility Name FAITH HOSPICE CARE LLC
Street 383 US HIGHWAY 46 SUITE 302
City FAIRFIELD
State NJ
ZIP 07004
Phone 973 244-2480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Hospice
Lab Director GEETAKUMARI B. FOFANDI

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