31D0960463 CLIA NUMBER - HOLY NAME MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D0960463
  • Facility Name: HOLY NAME MEDICAL CENTER
  • Facility Address: 222 CEDAR LANE, SUITE 111
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 836-7970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. ADAIR
  • NPI Number: 1144484866
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0960463
LAB Type Physician Office
Facility Name HOLY NAME MEDICAL CENTER
Street 222 CEDAR LANE, SUITE 111
City TEANECK
State NJ
ZIP 07666
Phone 201 836-7970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director ROBERT A. ADAIR

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