31D2024713 CLIA NUMBER - MOUNTAIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 31D2024713
  • Facility Name: MOUNTAIN SURGERY CENTER
  • Facility Address: 375 MOUNT PLEASANT AVENUE SUITE 210
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 736-0505
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT KATZMAN
  • NPI Number: 1831491117
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2024713
LAB Type Ambulatory Surgery Center
Facility Name MOUNTAIN SURGERY CENTER
Street 375 MOUNT PLEASANT AVENUE SUITE 210
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 736-0505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. SCOTT KATZMAN

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