39D1057945 CLIA NUMBER - ENDOSCOPY CENTER AT ST MARY,THE

Laboratory Demographics

  • CLIA Code: 39D1057945
  • Facility Name: ENDOSCOPY CENTER AT ST MARY,THE
  • Facility Address: 1205 LANGHORNE-NEWTOWN ROAD SUITE 103
    LANGHORNE, PA
    ZIP 19047
  • Facility Phone: 215 750-7700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD S. GOLDSTEIN
  • NPI Number: 1033220751
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1057945
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY CENTER AT ST MARY,THE
Street 1205 LANGHORNE-NEWTOWN ROAD SUITE 103
City LANGHORNE
State PA
ZIP 19047
Phone 215 750-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. RICHARD S. GOLDSTEIN

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