31D2196290 CLIA NUMBER - HEALTH EAST MEDICAL ALLIANCE

Laboratory Demographics

  • CLIA Code: 31D2196290
  • Facility Name: HEALTH EAST MEDICAL ALLIANCE
  • Facility Address: 54 SOUTH DEAN STREET
    ENGLEWOOD, NJ
    ZIP 07631
  • Facility Phone: 201 871-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANSON MOISE
  • NPI Number: 1760795025
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2196290
LAB Type Physician Office
Facility Name HEALTH EAST MEDICAL ALLIANCE
Street 54 SOUTH DEAN STREET
City ENGLEWOOD
State NJ
ZIP 07631
Phone 201 871-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director ANSON MOISE

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