31D1051030 CLIA NUMBER - HANOVER ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 31D1051030
  • Facility Name: HANOVER ENDOSCOPY CENTER
  • Facility Address: 91 SOUTH JEFFERSON AVENUE SUITE 300
    WHIPPANY, NJ
    ZIP 07981
  • Facility Phone: 973 410-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARL B. WALLACH MD
  • NPI Number: 1477584621
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1051030
LAB Type Physician Office
Facility Name HANOVER ENDOSCOPY CENTER
Street 91 SOUTH JEFFERSON AVENUE SUITE 300
City WHIPPANY
State NJ
ZIP 07981
Phone 973 410-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director CARL B. WALLACH MD

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