31D1029355 CLIA NUMBER - GARDEN STATE ENDOSCOPY AND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 31D1029355
  • Facility Name: GARDEN STATE ENDOSCOPY AND SURGERY CENTER
  • Facility Address: 200 SHEFFIELD STREET SUITE 101
    MOUNTAINSIDE, NJ
    ZIP 07092
  • Facility Phone: 908 241-8900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAJESH DHIRMALANI
  • NPI Number: 1184778060
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D1029355
LAB Type Ambulatory Surgery Center
Facility Name GARDEN STATE ENDOSCOPY AND SURGERY CENTER
Street 200 SHEFFIELD STREET SUITE 101
City MOUNTAINSIDE
State NJ
ZIP 07092
Phone 908 241-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Ambulatory Surgery Center
Lab Director RAJESH DHIRMALANI

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