07D2129507 CLIA NUMBER - LONG ISLAND MINIMALLY INVASIVE SURGERY

Laboratory Demographics

  • CLIA Code: 07D2129507
  • Facility Name: LONG ISLAND MINIMALLY INVASIVE SURGERY
  • Facility Address: 140 SHERMAN ST
    FAIRFIELD, CT
    ZIP 06824
  • Facility Phone: 516 616-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWN M. GARBER
  • NPI Number: 1356545867
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 07D2129507
LAB Type Physician Office
Facility Name LONG ISLAND MINIMALLY INVASIVE SURGERY
Street 140 SHERMAN ST
City FAIRFIELD
State CT
ZIP 06824
Phone 516 616-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director SHAWN M. GARBER

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