31D2201360 CLIA NUMBER - SPECTRUM HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 31D2201360
  • Facility Name: SPECTRUM HEALTH CARE, INC
  • Facility Address: 74-80 PACIFIC AVE
    JERSEY CITY, NJ
    ZIP 07304
  • Facility Phone: 201 451-2544
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: CHANDRAKANT A. PATEL
  • NPI Number: 1164186375
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2201360
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name SPECTRUM HEALTH CARE, INC
Street 74-80 PACIFIC AVE
City JERSEY CITY
State NJ
ZIP 07304
Phone 201 451-2544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director CHANDRAKANT A. PATEL

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