31D0967412 CLIA NUMBER - LINDEN SURGICAL CENTER, LLC

Laboratory Demographics

CLIA Number: 31D0967412

Facility Name: LINDEN SURGICAL CENTER, LLC

Facility Address:
210 WEST SAINT GEORGES AVE STE 101
LINDEN, NJ
ZIP 07036
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Facility Phone Number: 908 587-1888

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1780789024

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0967412
LAB Type	Ambulatory Surgery Center
Facility Name	LINDEN SURGICAL CENTER, LLC
Street	210 WEST SAINT GEORGES AVE STE 101
City	LINDEN
State	NJ
ZIP	07036
Phone	908 587-1888
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

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