31D0978738 CLIA NUMBER - FREEHOLD SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D0978738
  • Facility Name: FREEHOLD SURGICAL CENTER LLC
  • Facility Address: 500 WEST MAIN STREET
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 462-8707
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN K. MISHKIN
  • NPI Number: 1306928916
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0978738
LAB Type Ambulatory Surgery Center
Facility Name FREEHOLD SURGICAL CENTER LLC
Street 500 WEST MAIN STREET
City FREEHOLD
State NJ
ZIP 07728
Phone 732 462-8707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN K. MISHKIN

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