31D2309628 CLIA NUMBER - LUMBERTON EMERGENCY SQUAD

Laboratory Demographics

  • CLIA Code: 31D2309628
  • Facility Name: LUMBERTON EMERGENCY SQUAD
  • Facility Address: 34 MUNICIPAL DRIVE
    LUMBERTON, NJ
    ZIP 08048
  • Facility Phone: 609 261-1828
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RUSSELL H. BOWLES
  • NPI Number: 1356661805
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2309628
LAB Type Ambulance
Facility Name LUMBERTON EMERGENCY SQUAD
Street 34 MUNICIPAL DRIVE
City LUMBERTON
State NJ
ZIP 08048
Phone 609 261-1828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulance
Lab Director RUSSELL H. BOWLES

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