31D0004217 CLIA NUMBER - HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D0004217
  • Facility Name: HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER
  • Facility Address: 1 BAY AVENUE
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 429-6169
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ZOFIA TYNSKI
  • NPI Number: 1982720249
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 31D0004217
LAB Type Hospital
Facility Name HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER
Street 1 BAY AVENUE
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 429-6169
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. ZOFIA TYNSKI

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