31D2200591 CLIA NUMBER - FREEDOM SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D2200591
  • Facility Name: FREEDOM SURGICAL CENTER LLC
  • Facility Address: 1455 BROAD STREET SUITE 100
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 201 478-9160
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL R. GIGANTE
  • NPI Number: 1043811599
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2200591
LAB Type Ambulatory Surgery Center
Facility Name FREEDOM SURGICAL CENTER LLC
Street 1455 BROAD STREET SUITE 100
City BLOOMFIELD
State NJ
ZIP 07003
Phone 201 478-9160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL R. GIGANTE

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This page was last updated on: 6/4/2025