31D2184098 CLIA NUMBER - HACKENSACK MERIDIAN HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D2184098
  • Facility Name: HACKENSACK MERIDIAN HEALTH MEDICAL GROUP
  • Facility Address: 277 FOREST AVE SUITE 207
    PARAMUS, NJ
    ZIP 07652
  • Facility Phone: 201 523-9506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN A. WINER
  • NPI Number: 1114700010
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2184098
LAB Type Physician Office
Facility Name HACKENSACK MERIDIAN HEALTH MEDICAL GROUP
Street 277 FOREST AVE SUITE 207
City PARAMUS
State NJ
ZIP 07652
Phone 201 523-9506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director STEVEN A. WINER

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