33D1052635 CLIA NUMBER - AESTHETIC PLASTIC SURGERY PC

Laboratory Demographics

  • CLIA Code: 33D1052635
  • Facility Name: AESTHETIC PLASTIC SURGERY PC
  • Facility Address: 833 NORTHERN BLVD - SUITE 160
    GREAT NECK, NY
    ZIP 11021
  • Facility Phone: 516 498-8400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RANDALL S. FEINGOLD
  • NPI Number: 1114191905
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D1052635
LAB Type Ambulatory Surgery Center
Facility Name AESTHETIC PLASTIC SURGERY PC
Street 833 NORTHERN BLVD - SUITE 160
City GREAT NECK
State NY
ZIP 11021
Phone 516 498-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2006
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RANDALL S. FEINGOLD

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