33D1067336 CLIA NUMBER - EASTERN ORANGE AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 33D1067336
  • Facility Name: EASTERN ORANGE AMBULATORY SURGERY CENTER
  • Facility Address: 21 LAUREL AVE - SUITE 120
    CORNWALL, NY
    ZIP 12518
  • Facility Phone: 845 458-7800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GINA C. DELSAVIO
  • NPI Number: 1568583896
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1067336
LAB Type Ambulatory Surgery Center
Facility Name EASTERN ORANGE AMBULATORY SURGERY CENTER
Street 21 LAUREL AVE - SUITE 120
City CORNWALL
State NY
ZIP 12518
Phone 845 458-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2007
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GINA C. DELSAVIO

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