33D0877845 CLIA NUMBER - SUSAN WASSERMAN MD PC

Laboratory Demographics

  • CLIA Code: 33D0877845
  • Facility Name: SUSAN WASSERMAN MD PC
  • Facility Address: 560 NORTHERN BLVD
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 466-6165
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUSAN H. WASSERMAN
  • NPI Number: 1073589438
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0877845
LAB Type Physician Office
Facility Name SUSAN WASSERMAN MD PC
Street 560 NORTHERN BLVD
City GREAT NECK
State NY
ZIP 11021
Phone 516 466-6165
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director SUSAN H. WASSERMAN

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