39D2309008 CLIA NUMBER - MONROE ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 39D2309008
  • Facility Name: MONROE ENDOSCOPY CENTER, LLC
  • Facility Address: 511 VNA RD, SUITE 200
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 570 314-9401
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFERY M. COSTANZO
  • NPI Number: 1063283109
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2309008
LAB Type Ambulatory Surgery Center
Facility Name MONROE ENDOSCOPY CENTER, LLC
Street 511 VNA RD, SUITE 200
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 570 314-9401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JEFFERY M. COSTANZO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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