33D0991140 CLIA NUMBER - ELMIRA ASC LLC

Laboratory Demographics

  • CLIA Code: 33D0991140
  • Facility Name: ELMIRA ASC LLC
  • Facility Address: 210 WILLIAM ST
    ELMIRA, NY
    ZIP 14901
  • Facility Phone: 607 734-1305
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD A. ROSENBERG
  • NPI Number: 1295720530
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0991140
LAB Type Ambulatory Surgery Center
Facility Name ELMIRA ASC LLC
Street 210 WILLIAM ST
City ELMIRA
State NY
ZIP 14901
Phone 607 734-1305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2001
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RICHARD A. ROSENBERG

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