33D1037977 CLIA NUMBER - CUTTING EDGE MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1037977
  • Facility Name: CUTTING EDGE MEDICAL PC
  • Facility Address: 493 BEACH 20TH STREET
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 327-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER VAYSMAN
  • NPI Number: 1558319277
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1037977
LAB Type Physician Office
Facility Name CUTTING EDGE MEDICAL PC
Street 493 BEACH 20TH STREET
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 327-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. ALEXANDER VAYSMAN

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