31D2197887 CLIA NUMBER - MONTCLAIR CARE CENTER

Laboratory Demographics

  • CLIA Code: 31D2197887
  • Facility Name: MONTCLAIR CARE CENTER
  • Facility Address: 111-115 GATES AVE
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 746-4616
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: OLGA LANDKOF
  • NPI Number: 1407413404
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2197887
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTCLAIR CARE CENTER
Street 111-115 GATES AVE
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 746-4616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director OLGA LANDKOF

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