31D1064127 CLIA NUMBER - AMEDISYS NEW JERSEY, LLC DBA AMEDISYS HOSPICE

Laboratory Demographics

CLIA Number: 31D1064127

Facility Name: AMEDISYS NEW JERSEY, LLC DBA AMEDISYS HOSPICE

Facility Address:
21 MAIN STREET, SUITE 253
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 201 342-7766

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1033216338

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	31D1064127
LAB Type	Hospice
Facility Name	AMEDISYS NEW JERSEY, LLC DBA AMEDISYS HOSPICE
Street	21 MAIN STREET, SUITE 253
City	HACKENSACK
State	NJ
ZIP	07601
Phone	201 342-7766
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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