31D2180248 CLIA NUMBER - MOUNTAINSIDE RAMSEY, LLC

Laboratory Demographics

  • CLIA Code: 31D2180248
  • Facility Name: MOUNTAINSIDE RAMSEY, LLC
  • Facility Address: 500 NORTH FRANKLIN TURNPIKE SUITE #302
    RAMSEY, NJ
    ZIP 07446
  • Facility Phone: 860 824-1387
  • Facility Type: Other - OP MENTAL/SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: PATRICK OLOWOPOROKU
  • NPI Number: 1619598968
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2180248
LAB Type Other - OP MENTAL/SUBSTANCE ABUSE
Facility Name MOUNTAINSIDE RAMSEY, LLC
Street 500 NORTH FRANKLIN TURNPIKE SUITE #302
City RAMSEY
State NJ
ZIP 07446
Phone 860 824-1387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Other - OP MENTAL/SUBSTANCE ABUSE
Lab Director PATRICK OLOWOPOROKU

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