31D0970078 CLIA NUMBER - PRINCETON SURGIPLEX LLC

Laboratory Demographics

  • CLIA Code: 31D0970078
  • Facility Name: PRINCETON SURGIPLEX LLC
  • Facility Address: 932 STATE ROAD
    PRINCETON, NJ
    ZIP 08540
  • Facility Phone: 609 921-7161
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARY S. TAMULIS RN
  • NPI Number: 1780817957
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D0970078
LAB Type Ambulatory Surgery Center
Facility Name PRINCETON SURGIPLEX LLC
Street 932 STATE ROAD
City PRINCETON
State NJ
ZIP 08540
Phone 609 921-7161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Ambulatory Surgery Center
Lab Director MARY S. TAMULIS RN

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