31D1100306 CLIA NUMBER - RIVERDALE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D1100306
  • Facility Name: RIVERDALE SURGERY CENTER LLC
  • Facility Address: 44 STATE RT 23 SUITE 15A
    RIVERDALE, NJ
    ZIP 07457
  • Facility Phone: 973 200-5076
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMR HOSNY
  • NPI Number: 1861632317
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1100306
LAB Type Ambulatory Surgery Center
Facility Name RIVERDALE SURGERY CENTER LLC
Street 44 STATE RT 23 SUITE 15A
City RIVERDALE
State NJ
ZIP 07457
Phone 973 200-5076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Ambulatory Surgery Center
Lab Director AMR HOSNY

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