31D1052813 CLIA NUMBER - PREMIER ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 31D1052813
  • Facility Name: PREMIER ENDOSCOPY LLC
  • Facility Address: 164 BRIGHTON ROAD
    CLIFTON, NJ
    ZIP 07012
  • Facility Phone: 973 859-3700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN GRONOWITZ MD
  • NPI Number: 1942397104
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1052813
LAB Type Ambulatory Surgery Center
Facility Name PREMIER ENDOSCOPY LLC
Street 164 BRIGHTON ROAD
City CLIFTON
State NJ
ZIP 07012
Phone 973 859-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Ambulatory Surgery Center
Lab Director STEVEN GRONOWITZ MD

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