31D2314609 CLIA NUMBER - BERGEN ENTERPRISE CENTER DBA NORTH JERSEY RECEOVERY CENTER

Laboratory Demographics

  • CLIA Code: 31D2314609
  • Facility Name: BERGEN ENTERPRISE CENTER DBA NORTH JERSEY RECEOVERY CENTER
  • Facility Address: 757-769 PALISADES AVE
    CLIFFSIDE PARK, NJ
    ZIP 07010
  • Facility Phone: 884 987-0080
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JAY H. JONAS
  • NPI Number: 1699589382
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2314609
LAB Type Comp. Outpatient Rehab Facility
Facility Name BERGEN ENTERPRISE CENTER DBA NORTH JERSEY RECEOVERY CENTER
Street 757-769 PALISADES AVE
City CLIFFSIDE PARK
State NJ
ZIP 07010
Phone 884 987-0080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director JAY H. JONAS

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