31D0106718 CLIA NUMBER - WOOD RIDGE MEDICAL ASSOSC

Laboratory Demographics

CLIA Number: 31D0106718

Facility Name: WOOD RIDGE MEDICAL ASSOSC

Facility Address:
245 VALLEY BLVD
WOOD RIDGE, NJ
ZIP 07075
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Facility Phone Number: 201 438-5500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124493838

Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

CLIA Record

Field Name	Field Value
CLIA Number	31D0106718
LAB Type	Physician Office
Facility Name	WOOD RIDGE MEDICAL ASSOSC
Street	245 VALLEY BLVD
City	WOOD RIDGE
State	NJ
ZIP	07075
Phone	201 438-5500
CertificateType	4
CertificateEffectiveDate	7/2/2022
CertificateExpirationDate	7/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024