31D1015218 CLIA NUMBER - NORTH FULLERTON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 31D1015218
  • Facility Name: NORTH FULLERTON SURGERY CENTER
  • Facility Address: 37 NORTH FULLERTON AVENUE
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 233-0433
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALLEN D. ROSEN
  • NPI Number: 1366472086
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D1015218
LAB Type Ambulatory Surgery Center
Facility Name NORTH FULLERTON SURGERY CENTER
Street 37 NORTH FULLERTON AVENUE
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 233-0433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Ambulatory Surgery Center
Lab Director ALLEN D. ROSEN

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