31D2109691 CLIA NUMBER - RIDGEWOOD DIAGNOSTIC LABORATORY

Laboratory Demographics

  • CLIA Code: 31D2109691
  • Facility Name: RIDGEWOOD DIAGNOSTIC LABORATORY
  • Facility Address: 126 STATE ST 2ND FLOOR
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 973 542-2343
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ALFRED O. FAYEMI
  • NPI Number: 1568839173
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D2109691
LAB Type Independent
Facility Name RIDGEWOOD DIAGNOSTIC LABORATORY
Street 126 STATE ST 2ND FLOOR
City HACKENSACK
State NJ
ZIP 07601
Phone 973 542-2343
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/19/2021
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director ALFRED O. FAYEMI

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