31D1027681 CLIA NUMBER - ENDOSCOPY CENTER OF HACKENSACK

Laboratory Demographics

  • CLIA Code: 31D1027681
  • Facility Name: ENDOSCOPY CENTER OF HACKENSACK
  • Facility Address: 170 PROSPECT AVENUE SUITE 10
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 498-0030
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD LIN
  • NPI Number: 1770847717
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD LIN

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