31D0965764 CLIA NUMBER - CENTENNIAL SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D0965764
  • Facility Name: CENTENNIAL SURGICAL CENTER
  • Facility Address: 502 CENTENNIAL BLVD SUITE 1
    VOORHEES, NJ
    ZIP 08043
  • Facility Phone: 856 874-0790
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY WNEK MD
  • NPI Number: 1225293087
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0965764
LAB Type Ambulatory Surgery Center
Facility Name CENTENNIAL SURGICAL CENTER
Street 502 CENTENNIAL BLVD SUITE 1
City VOORHEES
State NJ
ZIP 08043
Phone 856 874-0790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Ambulatory Surgery Center
Lab Director GARY WNEK MD

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