31D0903197 CLIA NUMBER - SURGICORE OF JERSEY CITY, LLC

Laboratory Demographics

CLIA Number: 31D0903197

Facility Name: SURGICORE OF JERSEY CITY, LLC

Facility Address:
550 NEWARK AVENUE, 5TH FLOOR
JERSEY CITY, NJ
ZIP 07306
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Facility Phone Number: 201 795-0646

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1184151425

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	31D0903197
LAB Type	Ambulatory Surgery Center
Facility Name	SURGICORE OF JERSEY CITY, LLC
Street	550 NEWARK AVENUE, 5TH FLOOR
City	JERSEY CITY
State	NJ
ZIP	07306
Phone	201 795-0646
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024