31D2140315 CLIA NUMBER - MATERNAL RESOURCES PC

Laboratory Demographics

CLIA Number: 31D2140315

Facility Name: MATERNAL RESOURCES PC

Facility Address:
358 BEECH STREET
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 201 487-8600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932572922

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 31D2140315
LAB Type Physician Office
Facility Name MATERNAL RESOURCES PC
Street 358 BEECH STREET
City HACKENSACK
State NJ
ZIP 07601
Phone 201 487-8600
CertificateType 4
CertificateEffectiveDate 11/20/2023
CertificateExpirationDate 11/19/2025
FacilityType Waiver

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