31D2311068 CLIA NUMBER - JACKSON TOWNSHIP FIRST AID SQUAD/ JACKSON TOWNSHIP EMS

Laboratory Demographics

  • CLIA Code: 31D2311068
  • Facility Name: JACKSON TOWNSHIP FIRST AID SQUAD/ JACKSON TOWNSHIP EMS
  • Facility Address: 38 E VETERANS HWY
    JACKSON, NJ
    ZIP 08527
  • Facility Phone: 732 928-0278
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ALFRED COUCEIRO
  • NPI Number: 1730564436
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2311068
LAB Type Ambulance
Facility Name JACKSON TOWNSHIP FIRST AID SQUAD/ JACKSON TOWNSHIP EMS
Street 38 E VETERANS HWY
City JACKSON
State NJ
ZIP 08527
Phone 732 928-0278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Ambulance
Lab Director ALFRED COUCEIRO

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