33D1019582 CLIA NUMBER - PETER T SIMONSON MD PLLC SUFFERN MEDICAL PAVILION

Laboratory Demographics

  • CLIA Code: 33D1019582
  • Facility Name: PETER T SIMONSON MD PLLC SUFFERN MEDICAL PAVILION
  • Facility Address: 257 LAFAYETTE AVENUE, SUITE 120
    SUFFERN, NY
    ZIP 10901
  • Facility Phone: 845 369-9100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PETER T. SIMONSON
  • NPI Number: 1811973258
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D1019582
LAB Type Physician Office
Facility Name PETER T SIMONSON MD PLLC SUFFERN MEDICAL PAVILION
Street 257 LAFAYETTE AVENUE, SUITE 120
City SUFFERN
State NY
ZIP 10901
Phone 845 369-9100
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 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director DR. PETER T. SIMONSON

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This page was last updated on: 6/4/2025