31D1087874 CLIA NUMBER - GARDEN STATE AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 31D1087874

Facility Name: GARDEN STATE AMBULATORY SURGERY CENTER

Facility Address:
1 PLAZA DRIVE
TOMS RIVER, NJ
ZIP 08757
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Facility Phone Number: 732 341-7010

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1346416690

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D1087874
LAB Type	Ambulance
Facility Name	GARDEN STATE AMBULATORY SURGERY CENTER
Street	1 PLAZA DRIVE
City	TOMS RIVER
State	NJ
ZIP	08757
Phone	732 341-7010
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024