31D0906774 CLIA NUMBER - MAPLE GLEN CENTER

Laboratory Demographics

  • CLIA Code: 31D0906774
  • Facility Name: MAPLE GLEN CENTER
  • Facility Address: 12-15 SADDLE RIVER RD
    FAIR LAWN, NJ
    ZIP 07410
  • Facility Phone: 201 797-9522
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAURAINE S. HARRISON
  • NPI Number: 1881878171
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D0906774
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE GLEN CENTER
Street 12-15 SADDLE RIVER RD
City FAIR LAWN
State NJ
ZIP 07410
Phone 201 797-9522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LAURAINE S. HARRISON

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