31D1037721 CLIA NUMBER - PRINCETON ENDOSCOPY CENTER LLC

Laboratory Demographics

CLIA Number: 31D1037721

Facility Name: PRINCETON ENDOSCOPY CENTER LLC

Facility Address:
731 ALEXANDER ROAD SUITE 104
PRINCETON, NJ
ZIP 08540
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Facility Phone Number: 609 452-1111

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1578525283

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D1037721
LAB Type	Ambulatory Surgery Center
Facility Name	PRINCETON ENDOSCOPY CENTER LLC
Street	731 ALEXANDER ROAD SUITE 104
City	PRINCETON
State	NJ
ZIP	08540
Phone	609 452-1111
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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