31D2107299 CLIA NUMBER - PERFORMANCE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D2107299
  • Facility Name: PERFORMANCE SURGERY CENTER, LLC
  • Facility Address: 1084 MAIN AVENUE 2ND FLOOR
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 973 473-4040
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN PHILLIPS
  • NPI Number: 1639703895
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2107299
LAB Type Ambulatory Surgery Center
Facility Name PERFORMANCE SURGERY CENTER, LLC
Street 1084 MAIN AVENUE 2ND FLOOR
City CLIFTON
State NJ
ZIP 07011
Phone 973 473-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Ambulatory Surgery Center
Lab Director JONATHAN PHILLIPS

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