31D2311991 CLIA NUMBER - NESIVOS HEALTH LLC

Laboratory Demographics

  • CLIA Code: 31D2311991
  • Facility Name: NESIVOS HEALTH LLC
  • Facility Address: 1172 FISCHER BLVD
    TOMS RIVER, NJ
    ZIP 08753
  • Facility Phone: 732 641-1751
  • Facility Type: Other - OUTPATIENT D&A FACILITY
  • Facility Type: Waiver
  • Lab Director: LIONEL DIAMOND
  • NPI Number: 1588424840
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2311991
LAB Type Other - OUTPATIENT D&A FACILITY
Facility Name NESIVOS HEALTH LLC
Street 1172 FISCHER BLVD
City TOMS RIVER
State NJ
ZIP 08753
Phone 732 641-1751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Other - OUTPATIENT D&A FACILITY
Lab Director LIONEL DIAMOND

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This page was last updated on: 6/4/2025