31D2154903 CLIA NUMBER - ST JOSEPH MEDICAL - CARDIAC REHAB

Laboratory Demographics

  • CLIA Code: 31D2154903
  • Facility Name: ST JOSEPH MEDICAL - CARDIAC REHAB
  • Facility Address: 234 HAMBURG TURNPIKE
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 754-2352
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: SAMEER AZHAK
  • NPI Number: 1598760829
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 31D2154903
LAB Type Comp. Outpatient Rehab Facility
Facility Name ST JOSEPH MEDICAL - CARDIAC REHAB
Street 234 HAMBURG TURNPIKE
City WAYNE
State NJ
ZIP 07470
Phone 973 754-2352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director SAMEER AZHAK

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