31D0950996 CLIA NUMBER - FELICIAN COLLEGE CENTER FOR HEALTH

Laboratory Demographics

CLIA Number: 31D0950996

Facility Name: FELICIAN COLLEGE CENTER FOR HEALTH

Facility Address:
223 MONTROSS AVENUE
RUTHERFORD, NJ
ZIP 07070
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Facility Phone Number: 201 460-5700

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1265994479

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	31D0950996
LAB Type	School/Student Health Service
Facility Name	FELICIAN COLLEGE CENTER FOR HEALTH
Street	223 MONTROSS AVENUE
City	RUTHERFORD
State	NJ
ZIP	07070
Phone	201 460-5700
CertificateType	4
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	Waiver

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