31D2194059 CLIA NUMBER - BERGEN GERIATRIC CARE, LLC

Laboratory Demographics

  • CLIA Code: 31D2194059
  • Facility Name: BERGEN GERIATRIC CARE, LLC
  • Facility Address: 700 KINDERKAMACK ROAD SUITE 202
    ORADELL, NJ
    ZIP 07649
  • Facility Phone: 201 387-2003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ODESSA E. HOINKIS
  • NPI Number: 1316293996
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2194059
LAB Type Physician Office
Facility Name BERGEN GERIATRIC CARE, LLC
Street 700 KINDERKAMACK ROAD SUITE 202
City ORADELL
State NJ
ZIP 07649
Phone 201 387-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director ODESSA E. HOINKIS

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