33D2035323 CLIA NUMBER - SYRACUSE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 33D2035323
  • Facility Name: SYRACUSE SURGERY CENTER LLC
  • Facility Address: 3400 VICKERY RD - SUITE B
    NORTH SYRACUSE, NY
    ZIP 13212
  • Facility Phone: 315 422-3591
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS A. BERSANI
  • NPI Number: 1770869927
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2035323
LAB Type Ambulatory Surgery Center
Facility Name SYRACUSE SURGERY CENTER LLC
Street 3400 VICKERY RD - SUITE B
City NORTH SYRACUSE
State NY
ZIP 13212
Phone 315 422-3591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2012
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS A. BERSANI

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