33D2034522 CLIA NUMBER - SUFFOLK VASCULAR ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D2034522
  • Facility Name: SUFFOLK VASCULAR ASSOCIATES
  • Facility Address: 1110 HALLOCK AVENUE
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Facility Phone: 631 476-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT POLLINA
  • NPI Number: 1720059926
  • Taxonomy: 2086S0129X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2034522
LAB Type Physician Office
Facility Name SUFFOLK VASCULAR ASSOCIATES
Street 1110 HALLOCK AVENUE
City PORT JEFFERSON STATION
State NY
ZIP 11776
Phone 631 476-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DR. ROBERT POLLINA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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