31D2245078 CLIA NUMBER - DOCTORS PLACE, INC

Laboratory Demographics

CLIA Number: 31D2245078

Facility Name: DOCTORS PLACE, INC

Facility Address:
75 SUMMIT AVE, STE 200
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 201 540-8467

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780272260

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2245078
LAB Type	Physician Office
Facility Name	DOCTORS PLACE, INC
Street	75 SUMMIT AVE, STE 200
City	HACKENSACK
State	NJ
ZIP	07601
Phone	201 540-8467
CertificateType	4
CertificateEffectiveDate	12/8/2023
CertificateExpirationDate	12/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024