31D1069860 CLIA NUMBER - SPECIALTY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D1069860
  • Facility Name: SPECIALTY SURGICAL CENTER
  • Facility Address: 380 LAFAYETTE ROAD
    SPARTA, NJ
    ZIP 07871
  • Facility Phone: 973 940-3166
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN KOSS
  • NPI Number: 1821398199
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D1069860
LAB Type Ambulatory Surgery Center
Facility Name SPECIALTY SURGICAL CENTER
Street 380 LAFAYETTE ROAD
City SPARTA
State NJ
ZIP 07871
Phone 973 940-3166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. STEPHEN KOSS

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