31D2164190 CLIA NUMBER - MMM HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 31D2164190
  • Facility Name: MMM HEALTH SERVICES, INC
  • Facility Address: 596 ANDERSON AVENUE, STE 305
    CLIFFSIDE PARK, NJ
    ZIP 07010
  • Facility Phone: 973 435-6666
  • Facility Type: Other - OP SUBSTANCE USE DISORDER
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER IVANOV
  • NPI Number: 1790286607
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2164190
LAB Type Other - OP SUBSTANCE USE DISORDER
Facility Name MMM HEALTH SERVICES, INC
Street 596 ANDERSON AVENUE, STE 305
City CLIFFSIDE PARK
State NJ
ZIP 07010
Phone 973 435-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Other - OP SUBSTANCE USE DISORDER
Lab Director DR. ALEXANDER IVANOV

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