31D1000463 CLIA NUMBER - ESSEX ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D1000463
  • Facility Name: ESSEX ENDOSCOPY CENTER LLC
  • Facility Address: 275 CHESTNUT STREET 1ST FLOOR
    NEWARK, NJ
    ZIP 07105
  • Facility Phone: 615 240-3741
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FIRPO E. GUERRERO
  • NPI Number: 1891701611
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1000463
LAB Type Ambulatory Surgery Center
Facility Name ESSEX ENDOSCOPY CENTER LLC
Street 275 CHESTNUT STREET 1ST FLOOR
City NEWARK
State NJ
ZIP 07105
Phone 615 240-3741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Ambulatory Surgery Center
Lab Director FIRPO E. GUERRERO

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