31D0965943 CLIA NUMBER - NORTHFIELD SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D0965943
  • Facility Name: NORTHFIELD SURGICAL CENTER LLC
  • Facility Address: 741 NORTHFIELD AVENUE SUITE 102
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 243-1062
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ETAN SPIRA
  • NPI Number: 1881901478
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D0965943
LAB Type Ambulatory Surgery Center
Facility Name NORTHFIELD SURGICAL CENTER LLC
Street 741 NORTHFIELD AVENUE SUITE 102
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 243-1062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Ambulatory Surgery Center
Lab Director ETAN SPIRA

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