31D2034695 CLIA NUMBER - HACKENSACK DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2034695
  • Facility Name: HACKENSACK DIALYSIS
  • Facility Address: 113 W ESSEX ST
    MAYWOOD, NJ
    ZIP 07607
  • Facility Phone: 201 368-0610
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HOWARD B. WEIZMAN
  • NPI Number: 1932477130
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2034695
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HACKENSACK DIALYSIS
Street 113 W ESSEX ST
City MAYWOOD
State NJ
ZIP 07607
Phone 201 368-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HOWARD B. WEIZMAN

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