31D2288383 CLIA NUMBER - ENGLEWOOD HEALTH PHYSICIAN NETWORK EAST CAMPUS

Laboratory Demographics

  • CLIA Code: 31D2288383
  • Facility Name: ENGLEWOOD HEALTH PHYSICIAN NETWORK EAST CAMPUS
  • Facility Address: 910 SYLVAN AVE
    ENGLEWOOD CLIFFS, NJ
    ZIP 07632
  • Facility Phone: 201 796-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN B. BRUNNQUELL
  • NPI Number: 1194167320
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 31D2288383
LAB Type Physician Office
Facility Name ENGLEWOOD HEALTH PHYSICIAN NETWORK EAST CAMPUS
Street 910 SYLVAN AVE
City ENGLEWOOD CLIFFS
State NJ
ZIP 07632
Phone 201 796-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director STEPHEN B. BRUNNQUELL

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