31D0906344 CLIA NUMBER - HACKENSACK MEDICAL CENTER - ETD EMERGENCY TRAUMA DEPT

Laboratory Demographics

  • CLIA Code: 31D0906344
  • Facility Name: HACKENSACK MEDICAL CENTER - ETD EMERGENCY TRAUMA DEPT
  • Facility Address: 30 PROSPECT AVE
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 996-2300
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KEVIN HEWITT
  • NPI Number: 1568439891
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 31D0906344
LAB Type Hospital
Facility Name HACKENSACK MEDICAL CENTER - ETD EMERGENCY TRAUMA DEPT
Street 30 PROSPECT AVE
City HACKENSACK
State NJ
ZIP 07601
Phone 201 996-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Hospital
Lab Director KEVIN HEWITT

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