31D0922894 CLIA NUMBER - OPTIMA CARE AT FOUNTAINS

Laboratory Demographics

  • CLIA Code: 31D0922894
  • Facility Name: OPTIMA CARE AT FOUNTAINS
  • Facility Address: 505 COUNTY AVENUE
    SECAUCUS, NJ
    ZIP 07094
  • Facility Phone: 201 526-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARC GOLDSTEIN
  • NPI Number: 1730121005
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0922894
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OPTIMA CARE AT FOUNTAINS
Street 505 COUNTY AVENUE
City SECAUCUS
State NJ
ZIP 07094
Phone 201 526-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARC GOLDSTEIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025