33D2039913 CLIA NUMBER - ADVANCED COLON AND RECTAL SURGERY LLC

Laboratory Demographics

  • CLIA Code: 33D2039913
  • Facility Name: ADVANCED COLON AND RECTAL SURGERY LLC
  • Facility Address: 510 BROADHOLLOW ROAD, STE 307
    MELVILLE, NY
    ZIP 11747
  • Facility Phone: 631 756-2888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRADLEY G. BUTE
  • NPI Number: 1710023031
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2039913
LAB Type Physician Office
Facility Name ADVANCED COLON AND RECTAL SURGERY LLC
Street 510 BROADHOLLOW ROAD, STE 307
City MELVILLE
State NY
ZIP 11747
Phone 631 756-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director DR. BRADLEY G. BUTE

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