31D0940157 CLIA NUMBER - BERGEN KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 31D0940157
  • Facility Name: BERGEN KIDNEY CENTER
  • Facility Address: 300 GRAND AVENUE
    ENGLEWOOD, NJ
    ZIP 07631
  • Facility Phone: 201 567-5787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUIS JAN
  • NPI Number: 1679770952
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0940157
LAB Type Physician Office
Facility Name BERGEN KIDNEY CENTER
Street 300 GRAND AVENUE
City ENGLEWOOD
State NJ
ZIP 07631
Phone 201 567-5787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director LOUIS JAN

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