31D2095829 CLIA NUMBER - SUNRISE CLINICAL SERVICES

Laboratory Demographics

  • CLIA Code: 31D2095829
  • Facility Name: SUNRISE CLINICAL SERVICES
  • Facility Address: 22 BALL STREET
    IRVINGTON, NJ
    ZIP 07111
  • Facility Phone: 973 372-1095
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ERNEST POLITE
  • NPI Number: 1336404417
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2095829
LAB Type Comp. Outpatient Rehab Facility
Facility Name SUNRISE CLINICAL SERVICES
Street 22 BALL STREET
City IRVINGTON
State NJ
ZIP 07111
Phone 973 372-1095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ERNEST POLITE

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