31D2201475 CLIA NUMBER - PHOENIX CENTER FOR REHABILITATION & PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D2201475
  • Facility Name: PHOENIX CENTER FOR REHABILITATION & PEDIATRICS
  • Facility Address: 1433 RINGWOOD AVENUE
    HASKELL, NJ
    ZIP 07420
  • Facility Phone: 973 839-2119
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOMINGO YANG

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CLIA Record

Field Name Field Value
CLIA Number 31D2201475
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PHOENIX CENTER FOR REHABILITATION & PEDIATRICS
Street 1433 RINGWOOD AVENUE
City HASKELL
State NJ
ZIP 07420
Phone 973 839-2119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DOMINGO YANG

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This page was last updated on: 6/4/2025