33D2040438 CLIA NUMBER - WESTSIDE GI LLC

Laboratory Demographics

  • CLIA Code: 33D2040438
  • Facility Name: WESTSIDE GI LLC
  • Facility Address: 619 W 54TH ST - 8TH FLOOR
    NEW YORK, NY
    ZIP 10019
  • Facility Phone: 212 889-3142
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LESLIE F. SEECOOMAR
  • NPI Number: 1588938682
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2040438
LAB Type Ambulatory Surgery Center
Facility Name WESTSIDE GI LLC
Street 619 W 54TH ST - 8TH FLOOR
City NEW YORK
State NY
ZIP 10019
Phone 212 889-3142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2015
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. LESLIE F. SEECOOMAR

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