31D1032840 CLIA NUMBER - WEST NEW YORK FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 31D1032840

Facility Name: WEST NEW YORK FAMILY HEALTH CENTER

Facility Address:
5300 BERGENLINE AVENUE
WEST NEW YORK, NJ
ZIP 07093
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Facility Phone Number: 201 478-5800

Facility Type: Hospital

Certificate Type: Microscopy

NPI Number: 1124493630

Taxonomy: 225700000X - Massage Therapist
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

CLIA Record

Field Name	Field Value
CLIA Number	31D1032840
LAB Type	Hospital
Facility Name	WEST NEW YORK FAMILY HEALTH CENTER
Street	5300 BERGENLINE AVENUE
City	WEST NEW YORK
State	NJ
ZIP	07093
Phone	201 478-5800
CertificateType	3
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	PPMP

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