33D1086274 CLIA NUMBER - MEADOWBROOK ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 33D1086274
  • Facility Name: MEADOWBROOK ENDOSCOPY CENTER
  • Facility Address: 865 MERRICK AVE - SUITE 150N
    WESTBURY, NY
    ZIP 11590
  • Facility Phone: 516 548-3636
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GAUTAM M. REDDY
  • NPI Number: 1114187986
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 33D1086274
LAB Type Ambulatory Surgery Center
Facility Name MEADOWBROOK ENDOSCOPY CENTER
Street 865 MERRICK AVE - SUITE 150N
City WESTBURY
State NY
ZIP 11590
Phone 516 548-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2018
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GAUTAM M. REDDY

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