31D0901278 CLIA NUMBER - RIDGEWOOD MANOR

Laboratory Demographics

  • CLIA Code: 31D0901278
  • Facility Name: RIDGEWOOD MANOR
  • Facility Address: 330 FRANKLIN TPK
    RIDGEWOOD, NJ
    ZIP 07450
  • Facility Phone: (201) 447-1900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARIA MARINELLI
  • NPI Number: 1215970009
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0901278
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIDGEWOOD MANOR
Street 330 FRANKLIN TPK
City RIDGEWOOD
State NJ
ZIP 07450
Phone 2014471900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARIA MARINELLI

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This page was last updated on: 5/18/2026