31D2260972 CLIA NUMBER - SUMMIT MEDICAL GROUP, PA, D/B/A CENTER FOR ADVANCED SURGICAL EXCELLENCE

Laboratory Demographics

  • CLIA Code: 31D2260972
  • Facility Name: SUMMIT MEDICAL GROUP, PA, D/B/A CENTER FOR ADVANCED SURGICAL EXCELLENCE
  • Facility Address: 136 RT 73 SUITE C
    VOORHEES, NJ
    ZIP 08043
  • Facility Phone: 504 251-7275
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PHILLIP J. DORSEY
  • NPI Number: 1881620425
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2260972
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT MEDICAL GROUP, PA, D/B/A CENTER FOR ADVANCED SURGICAL EXCELLENCE
Street 136 RT 73 SUITE C
City VOORHEES
State NJ
ZIP 08043
Phone 504 251-7275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Ambulatory Surgery Center
Lab Director PHILLIP J. DORSEY

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