31D2107301 CLIA NUMBER - GREGORI SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 31D2107301
  • Facility Name: GREGORI SURGERY CENTER
  • Facility Address: 101 OLD SHORT HILL ROAD
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 322-6200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KHASHAYAR L. VOSOUGH
  • NPI Number: 1699144915
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2107301
LAB Type Ambulatory Surgery Center
Facility Name GREGORI SURGERY CENTER
Street 101 OLD SHORT HILL ROAD
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 322-6200
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 KHASHAYAR L. VOSOUGH

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