33D2000354 CLIA NUMBER - PERFORMANCE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 33D2000354
  • Facility Name: PERFORMANCE SURGERY CENTER LLC
  • Facility Address: 1408 OCEAN AVENUE
    BROOKLYN, NY
    ZIP 11230
  • Facility Phone: 718 725-8900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHNATHAN W. PHILLIPS
  • NPI Number: 1104068485
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2000354
LAB Type Ambulatory Surgery Center
Facility Name PERFORMANCE SURGERY CENTER LLC
Street 1408 OCEAN AVENUE
City BROOKLYN
State NY
ZIP 11230
Phone 718 725-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2009
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHNATHAN W. PHILLIPS

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