31D1055341 CLIA NUMBER - AMBULATORY CENTER FOR ENDOSCOPY, LLC

Laboratory Demographics

  • CLIA Code: 31D1055341
  • Facility Name: AMBULATORY CENTER FOR ENDOSCOPY, LLC
  • Facility Address: 7600 RIVER ROAD - 4TH FLOOR
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 201 705-1080
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL M. STOOPACK
  • NPI Number: 1831569524
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D1055341
LAB Type Ambulatory Surgery Center
Facility Name AMBULATORY CENTER FOR ENDOSCOPY, LLC
Street 7600 RIVER ROAD - 4TH FLOOR
City NORTH BERGEN
State NJ
ZIP 07047
Phone 201 705-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL M. STOOPACK

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