31D2279856 CLIA NUMBER - EHPN-ADVANCED HEALTHCARE, PC

Laboratory Demographics

  • CLIA Code: 31D2279856
  • Facility Name: EHPN-ADVANCED HEALTHCARE, PC
  • Facility Address: 2727 KENNEDY BLVD
    JERSEY CITY, NJ
    ZIP 07306
  • Facility Phone: 201 221-4770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN BRUNNQUELL
  • NPI Number: 1376721266
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2279856
LAB Type Physician Office
Facility Name EHPN-ADVANCED HEALTHCARE, PC
Street 2727 KENNEDY BLVD
City JERSEY CITY
State NJ
ZIP 07306
Phone 201 221-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director STEPHEN BRUNNQUELL

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