31D0112107 CLIA NUMBER - EMERSON CONVALESCENT CENTER AKA EMERSON HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 31D0112107
  • Facility Name: EMERSON CONVALESCENT CENTER AKA EMERSON HEALTHCARE CENTER
  • Facility Address: 100 KINDERKAMACK ROAD
    EMERSON, NJ
    ZIP 07630
  • Facility Phone: 201 265-3700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARILYN CACCAVELLA
  • NPI Number: 1578550828
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0112107
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EMERSON CONVALESCENT CENTER AKA EMERSON HEALTHCARE CENTER
Street 100 KINDERKAMACK ROAD
City EMERSON
State NJ
ZIP 07630
Phone 201 265-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARILYN CACCAVELLA

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