31D2252678 CLIA NUMBER - NORTHEASTERN LABORATORIES LLC

Laboratory Demographics

  • CLIA Code: 31D2252678
  • Facility Name: NORTHEASTERN LABORATORIES LLC
  • Facility Address: 97 LINDEN AVENUE SUITE 102
    ELMWOOD PARK, NJ
    ZIP 07407
  • Facility Phone: 561 396-0813
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. GEORGE JOUR
  • NPI Number: 1902546310
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D2252678
LAB Type Independent
Facility Name NORTHEASTERN LABORATORIES LLC
Street 97 LINDEN AVENUE SUITE 102
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 561 396-0813
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Independent
Lab Director DR. GEORGE JOUR

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