31D0941369 CLIA NUMBER - ESSEX COUNTY HOSPITAL CENTER

Laboratory Demographics

CLIA Number: 31D0941369

Facility Name: ESSEX COUNTY HOSPITAL CENTER

Facility Address:
204 GROVE AVENUE ATTN FRANK DELGAUDIO
CEDAR GROVE, NJ
ZIP 07009
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Facility Phone Number: 973 571-2801

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1174640734

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	31D0941369
LAB Type	Hospital
Facility Name	ESSEX COUNTY HOSPITAL CENTER
Street	204 GROVE AVENUE ATTN FRANK DELGAUDIO
City	CEDAR GROVE
State	NJ
ZIP	07009
Phone	973 571-2801
CertificateType	4
CertificateEffectiveDate	12/12/2023
CertificateExpirationDate	12/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024