31D0990221 CLIA NUMBER - ENGLEWOOD HEALTH

Laboratory Demographics

  • CLIA Code: 31D0990221
  • Facility Name: ENGLEWOOD HEALTH
  • Facility Address: 120 FRANKLIN STREET
    JERSEY CITY, NJ
    ZIP 07307
  • Facility Phone: 201 216-9791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN BRUNNQUELL
  • NPI Number: 1922064757
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0990221
LAB Type Physician Office
Facility Name ENGLEWOOD HEALTH
Street 120 FRANKLIN STREET
City JERSEY CITY
State NJ
ZIP 07307
Phone 201 216-9791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director STEPHEN BRUNNQUELL

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