33D1067404 CLIA NUMBER - PHYSICIAN'S CHOICE SURGICENTER

Laboratory Demographics

CLIA Number: 33D1067404

Facility Name: PHYSICIAN'S CHOICE SURGICENTER

Facility Address:
82-12 151ST AVENUE
HOWARD BEACH, NY
ZIP 11414
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Facility Phone Number: 718 322-9800

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1730301284

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1067404
LAB Type	Ambulatory Surgery Center
Facility Name	PHYSICIAN'S CHOICE SURGICENTER
Street	82-12 151ST AVENUE
City	HOWARD BEACH
State	NY
ZIP	11414
Phone	718 322-9800
CertificateType	4
CertificateEffectiveDate	4/18/2007
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024