31D2278422 CLIA NUMBER - PALISADES SURGICAL SUITES LLC

Laboratory Demographics

  • CLIA Code: 31D2278422
  • Facility Name: PALISADES SURGICAL SUITES LLC
  • Facility Address: 1 BRIDGE PLAZA N SUITE 540
    FORT LEE, NJ
    ZIP 07024
  • Facility Phone: 804 651-5216
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SEAN L. THOMPSON
  • NPI Number: 1699475368
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D2278422
LAB Type Ambulatory Surgery Center
Facility Name PALISADES SURGICAL SUITES LLC
Street 1 BRIDGE PLAZA N SUITE 540
City FORT LEE
State NJ
ZIP 07024
Phone 804 651-5216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Ambulatory Surgery Center
Lab Director SEAN L. THOMPSON

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