33D0951447 CLIA NUMBER - UROLOGIC SURGICAL CARE PLLC JASON GROTAS, MD

Laboratory Demographics

  • CLIA Code: 33D0951447
  • Facility Name: UROLOGIC SURGICAL CARE PLLC JASON GROTAS, MD
  • Facility Address: 290 CENTRAL AVENUE, SUITE 207
    LAWRENCE, NY
    ZIP 11559
  • Facility Phone: 516 239-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON GROTAS
  • NPI Number: 1366612434
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0951447
LAB Type Physician Office
Facility Name UROLOGIC SURGICAL CARE PLLC JASON GROTAS, MD
Street 290 CENTRAL AVENUE, SUITE 207
City LAWRENCE
State NY
ZIP 11559
Phone 516 239-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director DR. JASON GROTAS

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