31D1036138 CLIA NUMBER - BLOOMFIELD SURGI-CENTER LLC DBA AMBULATORY CENTER OF EXCELLENCE IN SURGERY

Laboratory Demographics

  • CLIA Code: 31D1036138
  • Facility Name: BLOOMFIELD SURGI-CENTER LLC DBA AMBULATORY CENTER OF EXCELLENCE IN SURGERY
  • Facility Address: 1255 BROAD STREET SUITE 200
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 842-2150
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HOWARD BARUCH
  • NPI Number: 1013921964
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1036138
LAB Type Ambulatory Surgery Center
Facility Name BLOOMFIELD SURGI-CENTER LLC DBA AMBULATORY CENTER OF EXCELLENCE IN SURGERY
Street 1255 BROAD STREET SUITE 200
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 842-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Ambulatory Surgery Center
Lab Director HOWARD BARUCH

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