31D2308188 CLIA NUMBER - SOUTH ORANGE RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 31D2308188
  • Facility Name: SOUTH ORANGE RESCUE SQUAD
  • Facility Address: 62 SLOAN STREET
    SOUTH ORANGE, NJ
    ZIP 07079
  • Facility Phone: 973 762-5647
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: VICTOR H. ROTHSTEIN
  • NPI Number: 1669612628
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 31D2308188
LAB Type Ambulance
Facility Name SOUTH ORANGE RESCUE SQUAD
Street 62 SLOAN STREET
City SOUTH ORANGE
State NJ
ZIP 07079
Phone 973 762-5647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Ambulance
Lab Director VICTOR H. ROTHSTEIN

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