31D2068889 CLIA NUMBER - BAYADA HOME HEALTH CARE, INC DBA BAYADA HOSPICE

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Laboratory Demographics

CLIA Number: 31D2068889

Facility Name: BAYADA HOME HEALTH CARE, INC DBA BAYADA HOSPICE

Facility Address:
5901 WEST SIDE AVE SUITE 502A
NORTH BERGEN, NJ
ZIP 07047
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Facility Phone Number: 201 630-2158

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1184061392

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	31D2068889
LAB Type	Hospice
Facility Name	BAYADA HOME HEALTH CARE, INC DBA BAYADA HOSPICE
Street	5901 WEST SIDE AVE SUITE 502A
City	NORTH BERGEN
State	NJ
ZIP	07047
Phone	201 630-2158
CertificateType	4
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	Waiver

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