31D2158170 CLIA NUMBER - VISIONARY ASC NJ

Laboratory Demographics

  • CLIA Code: 31D2158170
  • Facility Name: VISIONARY ASC NJ
  • Facility Address: 210 MEADOWLANDS PARKWAY SUITE 5
    SECAUCUS, NJ
    ZIP 07094
  • Facility Phone: (240) 669-3134
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL MACKOUL

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CLIA Record

Field Name Field Value
CLIA Number 31D2158170
LAB Type Ambulatory Surgery Center
Facility Name VISIONARY ASC NJ
Street 210 MEADOWLANDS PARKWAY SUITE 5
City SECAUCUS
State NJ
ZIP 07094
Phone 2406693134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL MACKOUL

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This page was last updated on: 5/18/2026