31D1075211 CLIA NUMBER - PALISADE SURGERY CENTER,LLC

Laboratory Demographics

  • CLIA Code: 31D1075211
  • Facility Name: PALISADE SURGERY CENTER,LLC
  • Facility Address: 1567 PALISADE AVENUE
    FORT LEE, NJ
    ZIP 07024
  • Facility Phone: 201 585-2388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL H. ROSENBERG
  • NPI Number: 1265591556
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D1075211
LAB Type Physician Office
Facility Name PALISADE SURGERY CENTER,LLC
Street 1567 PALISADE AVENUE
City FORT LEE
State NJ
ZIP 07024
Phone 201 585-2388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director PAUL H. ROSENBERG

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