31D0677093 CLIA NUMBER - CLIFFSIDE MEDICAL EMERGIMED LABORATORY

Laboratory Demographics

  • CLIA Code: 31D0677093
  • Facility Name: CLIFFSIDE MEDICAL EMERGIMED LABORATORY
  • Facility Address: 663 PALISADE AVE STE 101
    CLIFFSIDE PARK, NJ
    ZIP 07010
  • Facility Phone: 201 945-6500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BENJAMIN S. CHOUAKE
  • NPI Number: 1104908813
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D0677093
LAB Type Physician Office
Facility Name CLIFFSIDE MEDICAL EMERGIMED LABORATORY
Street 663 PALISADE AVE STE 101
City CLIFFSIDE PARK
State NJ
ZIP 07010
Phone 201 945-6500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/16/2020
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. BENJAMIN S. CHOUAKE

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