31D2274164 CLIA NUMBER - MUHLENBERG ASC, LLC

Laboratory Demographics

  • CLIA Code: 31D2274164
  • Facility Name: MUHLENBERG ASC, LLC
  • Facility Address: 1280 RANDOLPH ROAD, STE 301
    PLAINFIELD, NJ
    ZIP 07060
  • Facility Phone: 856 693-7162
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MEHRDAD RAFIZADEH
  • NPI Number: 1609583137
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2274164
LAB Type Ambulatory Surgery Center
Facility Name MUHLENBERG ASC, LLC
Street 1280 RANDOLPH ROAD, STE 301
City PLAINFIELD
State NJ
ZIP 07060
Phone 856 693-7162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Ambulatory Surgery Center
Lab Director MEHRDAD RAFIZADEH

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