31D2327788 CLIA NUMBER - CHOSEN GENERATION COMMUNITY CORPORATION

Laboratory Demographics

  • CLIA Code: 31D2327788
  • Facility Name: CHOSEN GENERATION COMMUNITY CORPORATION
  • Facility Address: 147 MONTGOMERY STREET
    PATERSON, NJ
    ZIP 07501
  • Facility Phone: 203 947-7416
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DENISE ADDISON
  • NPI Number: 1518847441
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2327788
LAB Type Mobile Laboratory
Facility Name CHOSEN GENERATION COMMUNITY CORPORATION
Street 147 MONTGOMERY STREET
City PATERSON
State NJ
ZIP 07501
Phone 203 947-7416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Mobile Laboratory
Lab Director DENISE ADDISON

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