31D1101584 CLIA NUMBER - JERSEY HEART CENTER

Laboratory Demographics

  • CLIA Code: 31D1101584
  • Facility Name: JERSEY HEART CENTER
  • Facility Address: 616 AMBOY AVE 2ND FLOOR
    WOODBRIDGE, NJ
    ZIP 07095
  • Facility Phone: 732 636-6262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHMOOD ALAM
  • NPI Number: 1609892090
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D1101584
LAB Type Physician Office
Facility Name JERSEY HEART CENTER
Street 616 AMBOY AVE 2ND FLOOR
City WOODBRIDGE
State NJ
ZIP 07095
Phone 732 636-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director MAHMOOD ALAM

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