31D0998414 CLIA NUMBER - MOSHE EPHRAT MD

Laboratory Demographics

  • CLIA Code: 31D0998414
  • Facility Name: MOSHE EPHRAT MD
  • Facility Address: 101 PROSPECT AVENUE UNIT 1D
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 342-6550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOSHE EPHRAT
  • NPI Number: 1447357025
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0998414
LAB Type Physician Office
Facility Name MOSHE EPHRAT MD
Street 101 PROSPECT AVENUE UNIT 1D
City HACKENSACK
State NJ
ZIP 07601
Phone 201 342-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director MOSHE EPHRAT

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