31D2259608 CLIA NUMBER - HACKENSACK MERIDIAN LTACH, LLC

Laboratory Demographics

CLIA Number: 31D2259608

Facility Name: HACKENSACK MERIDIAN LTACH, LLC

Facility Address:
530 NEW BRUNSWICK AVE 4TH FLOOR, GREEN WING
PERTH AMBOY, NJ
ZIP 08861
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Facility Phone Number: 732 324-4715

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1164157624

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	31D2259608
LAB Type	Hospital
Facility Name	HACKENSACK MERIDIAN LTACH, LLC
Street	530 NEW BRUNSWICK AVE 4TH FLOOR, GREEN WING
City	PERTH AMBOY
State	NJ
ZIP	08861
Phone	732 324-4715
CertificateType	4
CertificateEffectiveDate	5/9/2022
CertificateExpirationDate	5/8/2024
FacilityType	Waiver

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