31D2294942 CLIA NUMBER - HACKENSACK MERIDIAN HEALTH AND WELLNESS SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 31D2294942
  • Facility Name: HACKENSACK MERIDIAN HEALTH AND WELLNESS SPECIALTY CARE
  • Facility Address: 1180 RARITAN ROAD
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 848 308-4520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARSHINI SHAH
  • NPI Number: 1568165165
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2294942
LAB Type Physician Office
Facility Name HACKENSACK MERIDIAN HEALTH AND WELLNESS SPECIALTY CARE
Street 1180 RARITAN ROAD
City CLARK
State NJ
ZIP 07066
Phone 848 308-4520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director DARSHINI SHAH

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