31D2184952 CLIA NUMBER - EAGLE HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 31D2184952
  • Facility Name: EAGLE HEALTH SERVICES LLC
  • Facility Address: 18 FERRY STREET, SUITE 2
    NEWARK, NJ
    ZIP 07105
  • Facility Phone: 973 589-3566
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID O. ALABI
  • NPI Number: 1063076685
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2184952
LAB Type Practitioner Other
Facility Name EAGLE HEALTH SERVICES LLC
Street 18 FERRY STREET, SUITE 2
City NEWARK
State NJ
ZIP 07105
Phone 973 589-3566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Practitioner Other
Lab Director DAVID O. ALABI

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