31D2196466 CLIA NUMBER - PROGRESSIVE SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D2196466
  • Facility Name: PROGRESSIVE SURGICAL CENTER LLC
  • Facility Address: 630 PALISADES AVE 2ND FLOOR
    ENGLEWOOD CLIFFS, NJ
    ZIP 07632
  • Facility Phone: 201 581-7010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA ROVNER
  • NPI Number: 1164031118
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2196466
LAB Type Ambulatory Surgery Center
Facility Name PROGRESSIVE SURGICAL CENTER LLC
Street 630 PALISADES AVE 2ND FLOOR
City ENGLEWOOD CLIFFS
State NJ
ZIP 07632
Phone 201 581-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director JOSHUA ROVNER

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