31D2027558 CLIA NUMBER - ATLANTIS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D2027558
  • Facility Name: ATLANTIS SURGERY CENTER, LLC
  • Facility Address: 321 ESSEX STREET
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 692-9800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL T. DIERLAM
  • NPI Number: 1538736525
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2027558
LAB Type Ambulatory Surgery Center
Facility Name ATLANTIS SURGERY CENTER, LLC
Street 321 ESSEX STREET
City HACKENSACK
State NJ
ZIP 07601
Phone 201 692-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Ambulatory Surgery Center
Lab Director PAUL T. DIERLAM

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