31D0112782 CLIA NUMBER - AMY T ROSEN, MD

Laboratory Demographics

  • CLIA Code: 31D0112782
  • Facility Name: AMY T ROSEN, MD
  • Facility Address: 381 TEANECK ROAD
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 837-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE A. ROSEN MD
  • NPI Number: 1548274574
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0112782
LAB Type Physician Office
Facility Name AMY T ROSEN, MD
Street 381 TEANECK ROAD
City TEANECK
State NJ
ZIP 07666
Phone 201 837-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director LAWRENCE A. ROSEN MD

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