31D1027681 CLIA NUMBER - ENDOSCOPY CENTER OF HACKENSACK

Laboratory Demographics

CLIA Number: 31D1027681

Facility Name: ENDOSCOPY CENTER OF HACKENSACK

Facility Address:
170 PROSPECT AVENUE SUITE 10
HACKENSACK, NJ
ZIP 07601
Get Directions

Facility Phone Number: 201 498-0030

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1770847717

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D1027681
LAB Type	Ambulatory Surgery Center
Facility Name	ENDOSCOPY CENTER OF HACKENSACK
Street	170 PROSPECT AVENUE SUITE 10
City	HACKENSACK
State	NJ
ZIP	07601
Phone	201 498-0030
CertificateType	4
CertificateEffectiveDate	7/7/2022
CertificateExpirationDate	7/6/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024