31D2247417 CLIA NUMBER - CLIFFSIDE PARK EMS

Laboratory Demographics

  • CLIA Code: 31D2247417
  • Facility Name: CLIFFSIDE PARK EMS
  • Facility Address: 525 PALISADE AVE
    CLIFFSIDE PARK, NJ
    ZIP 07010
  • Facility Phone: 201 313-2064
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL RUSSO
  • NPI Number: 1104843689
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2247417
LAB Type Ambulance
Facility Name CLIFFSIDE PARK EMS
Street 525 PALISADE AVE
City CLIFFSIDE PARK
State NJ
ZIP 07010
Phone 201 313-2064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Ambulance
Lab Director MICHAEL RUSSO

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