31D2312089 CLIA NUMBER - SURGERY CENTER OF HACKENSACK

Laboratory Demographics

  • CLIA Code: 31D2312089
  • Facility Name: SURGERY CENTER OF HACKENSACK
  • Facility Address: 146 RT 17 N SUITE A2
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 551 999-9064
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIC D. FREEMAN
  • NPI Number: 1922823095
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2312089
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER OF HACKENSACK
Street 146 RT 17 N SUITE A2
City HACKENSACK
State NJ
ZIP 07601
Phone 551 999-9064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Ambulatory Surgery Center
Lab Director ERIC D. FREEMAN

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