39D1062159 CLIA NUMBER - ENDOSCOPY CENTER OF BUCKS COUNTY

Laboratory Demographics

CLIA Number: 39D1062159

Facility Name: ENDOSCOPY CENTER OF BUCKS COUNTY

Facility Address:
790 NEWTOWN YARDLEY ROAD, SUITE 415
NEWTOWN, PA
ZIP 18940
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Facility Phone Number: 215 579-2004

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1629142666

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1062159
LAB Type	Ambulatory Surgery Center
Facility Name	ENDOSCOPY CENTER OF BUCKS COUNTY
Street	790 NEWTOWN YARDLEY ROAD, SUITE 415
City	NEWTOWN
State	PA
ZIP	18940
Phone	215 579-2004
CertificateType	4
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	Waiver

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