31D2114058 CLIA NUMBER - HACKENSACK UNIVERSITY MEDICAL GROUP, PC

Laboratory Demographics

  • CLIA Code: 31D2114058
  • Facility Name: HACKENSACK UNIVERSITY MEDICAL GROUP, PC
  • Facility Address: 7650 RIVER ROAD SUITE 230
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 201 850-1084
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN ESCOBAR
  • NPI Number: 1295447217
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2114058
LAB Type Physician Office
Facility Name HACKENSACK UNIVERSITY MEDICAL GROUP, PC
Street 7650 RIVER ROAD SUITE 230
City NORTH BERGEN
State NJ
ZIP 07047
Phone 201 850-1084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director JUAN ESCOBAR

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