33D0967067 CLIA NUMBER - ISLAND EYE SURGICENTER

Laboratory Demographics

  • CLIA Code: 33D0967067
  • Facility Name: ISLAND EYE SURGICENTER
  • Facility Address: 1500 JERICHO TURNPIKE
    WESTBURY, NY
    ZIP 11590
  • Facility Phone: 516 877-2400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GERARD DAVERSA
  • NPI Number: 1629152053
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0967067
LAB Type Ambulatory Surgery Center
Facility Name ISLAND EYE SURGICENTER
Street 1500 JERICHO TURNPIKE
City WESTBURY
State NY
ZIP 11590
Phone 516 877-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/1999
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GERARD DAVERSA

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