31D1087586 CLIA NUMBER - ADVANCED SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D1087586
  • Facility Name: ADVANCED SURGERY CENTER, LLC
  • Facility Address: 1608 LEMOINE AVENUE, SUITE 101
    FORT LEE, NJ
    ZIP 07024
  • Facility Phone: 201 346-1112
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES R. LEE, MD
  • NPI Number: 1194960369
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1087586
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER, LLC
Street 1608 LEMOINE AVENUE, SUITE 101
City FORT LEE
State NJ
ZIP 07024
Phone 201 346-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES R. LEE, MD

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