31D2135520 CLIA NUMBER - CORE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D2135520
  • Facility Name: CORE SURGERY CENTER, LLC
  • Facility Address: 256 STUYVESANT AVENUE
    LYNDHURST, NJ
    ZIP 07071
  • Facility Phone: 201 905-1113
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAGDIP DESAI
  • NPI Number: 1083131544
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2135520
LAB Type Ambulatory Surgery Center
Facility Name CORE SURGERY CENTER, LLC
Street 256 STUYVESANT AVENUE
City LYNDHURST
State NJ
ZIP 07071
Phone 201 905-1113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Ambulatory Surgery Center
Lab Director JAGDIP DESAI

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