33D1013662 CLIA NUMBER - PROGRESSIVE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 33D1013662
  • Facility Name: PROGRESSIVE SURGERY CENTER
  • Facility Address: 340 MEDICAL PLAZA BROAD HOLLOW ROAD
    FARMINGDALE, NY
    ZIP 11735
  • Facility Phone: 631 249-3000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. VERGHESE GEORGE
  • NPI Number: 1477645711
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1013662
LAB Type Ambulatory Surgery Center
Facility Name PROGRESSIVE SURGERY CENTER
Street 340 MEDICAL PLAZA BROAD HOLLOW ROAD
City FARMINGDALE
State NY
ZIP 11735
Phone 631 249-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2003
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. VERGHESE GEORGE

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