31D2078644 CLIA NUMBER - AMBULATORY SURGICAL CENTER AT BASKING RIDGE, LLC

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Laboratory Demographics

CLIA Number: 31D2078644

Facility Name: AMBULATORY SURGICAL CENTER AT BASKING RIDGE, LLC

Facility Address:
140 ALLEN ROAD, SUITE 101
BASKING RIDGE, NJ
ZIP 07920
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Facility Phone Number: 973 656-2873

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1881001212

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2078644
LAB Type	Ambulatory Surgery Center
Facility Name	AMBULATORY SURGICAL CENTER AT BASKING RIDGE, LLC
Street	140 ALLEN ROAD, SUITE 101
City	BASKING RIDGE
State	NJ
ZIP	07920
Phone	973 656-2873
CertificateType	4
CertificateEffectiveDate	6/2/2022
CertificateExpirationDate	6/1/2024
FacilityType	Waiver

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