31D1004005 CLIA NUMBER - SURGICAL CENTER AT MILLBURN

Laboratory Demographics

  • CLIA Code: 31D1004005
  • Facility Name: SURGICAL CENTER AT MILLBURN
  • Facility Address: 37 EAST WILLOW STREET
    MILLBURN, NJ
    ZIP 07041
  • Facility Phone: 973 376-6969
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WENDY LAMOTTA
  • NPI Number: 1114034006
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1004005
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL CENTER AT MILLBURN
Street 37 EAST WILLOW STREET
City MILLBURN
State NJ
ZIP 07041
Phone 973 376-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Ambulatory Surgery Center
Lab Director WENDY LAMOTTA

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