31D2312883 CLIA NUMBER - HUDSON HEART GROUP - EHPN

Laboratory Demographics

  • CLIA Code: 31D2312883
  • Facility Name: HUDSON HEART GROUP - EHPN
  • Facility Address: 425 70TH ST
    GUTTENBERG, NJ
    ZIP 07093
  • Facility Phone: 201 854-0055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN B. BRUNNQUELL
  • NPI Number: 1063572246
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2312883
LAB Type Physician Office
Facility Name HUDSON HEART GROUP - EHPN
Street 425 70TH ST
City GUTTENBERG
State NJ
ZIP 07093
Phone 201 854-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director STEPHEN B. BRUNNQUELL

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