31D1033391 CLIA NUMBER - RIVER DRIVE SURGERY & LASER CENTER

Laboratory Demographics

  • CLIA Code: 31D1033391
  • Facility Name: RIVER DRIVE SURGERY & LASER CENTER
  • Facility Address: 619 RIVER DRIVE 1ST FLOOR
    ELMWOOD PARK, NJ
    ZIP 07407
  • Facility Phone: (201) 703-2900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HADLEY PHILLIPS DO
  • NPI Number: 1649218009
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D1033391
LAB Type Ambulatory Surgery Center
Facility Name RIVER DRIVE SURGERY & LASER CENTER
Street 619 RIVER DRIVE 1ST FLOOR
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 2017032900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Ambulatory Surgery Center
Lab Director HADLEY PHILLIPS DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026