31D0962900 CLIA NUMBER - PROSPECT HEIGHTS CARE CENTER

Laboratory Demographics

  • CLIA Code: 31D0962900
  • Facility Name: PROSPECT HEIGHTS CARE CENTER
  • Facility Address: 336 PROSPECT AVENUE
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 678-1801
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARTINA MUIR
  • NPI Number: 1023162385
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0962900
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PROSPECT HEIGHTS CARE CENTER
Street 336 PROSPECT AVENUE
City HACKENSACK
State NJ
ZIP 07601
Phone 201 678-1801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2023
Certificate Expiration Date 7/15/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARTINA MUIR

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