31D2132663 CLIA NUMBER - LIFELINE URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 31D2132663
  • Facility Name: LIFELINE URGENT CARE, LLC
  • Facility Address: 8 EAST GRAND AVENUE
    MONTVALE, NJ
    ZIP 07645
  • Facility Phone: 201 775-1153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA M. VARGHESE
  • NPI Number: 1952853285
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2132663
LAB Type Physician Office
Facility Name LIFELINE URGENT CARE, LLC
Street 8 EAST GRAND AVENUE
City MONTVALE
State NJ
ZIP 07645
Phone 201 775-1153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director REBECCA M. VARGHESE

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