31D2222929 CLIA NUMBER - SALEM ASC, LLC

Laboratory Demographics

  • CLIA Code: 31D2222929
  • Facility Name: SALEM ASC, LLC
  • Facility Address: 336 SALEM WOODSTOWN ROAD
    SALEM, NJ
    ZIP 08079
  • Facility Phone: 856 848-3440
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GEORGIANNE M. MAXWELL
  • NPI Number: 1104415702
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2222929
LAB Type Ambulatory Surgery Center
Facility Name SALEM ASC, LLC
Street 336 SALEM WOODSTOWN ROAD
City SALEM
State NJ
ZIP 08079
Phone 856 848-3440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulatory Surgery Center
Lab Director GEORGIANNE M. MAXWELL

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