31D2259608 CLIA NUMBER - HACKENSACK MERIDIAN LTACH, LLC

Laboratory Demographics

  • CLIA Code: 31D2259608
  • Facility Name: HACKENSACK MERIDIAN LTACH, LLC
  • Facility Address: 530 NEW BRUNSWICK AVE 4TH FLOOR, GREEN WING
    PERTH AMBOY, NJ
    ZIP 08861
  • Facility Phone: (732) 324-4715
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ALEX EWING
  • NPI Number: 1164157624
  • Taxonomy: 282N00000X - General Acute Care Hospital

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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 7323244715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2026
Certificate Expiration Date 5/8/2028
Facility Type Hospital
Lab Director ALEX EWING

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This page was last updated on: 5/18/2026