31D2167205 CLIA NUMBER - EVERSIDE HEALTH LLC, JERSEY CITY

Laboratory Demographics

  • CLIA Code: 31D2167205
  • Facility Name: EVERSIDE HEALTH LLC, JERSEY CITY
  • Facility Address: 100 TOWN SQUARE PLACE SUITE 630
    JERSEY CITY, NJ
    ZIP 07310
  • Facility Phone: 973 650-0308
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMEENA JIWANI
  • NPI Number: 1275191629
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2167205
LAB Type Physician Office
Facility Name EVERSIDE HEALTH LLC, JERSEY CITY
Street 100 TOWN SQUARE PLACE SUITE 630
City JERSEY CITY
State NJ
ZIP 07310
Phone 973 650-0308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director AMEENA JIWANI

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