33D2051614 CLIA NUMBER - ISLAND SURGICAL SUITE PC

Laboratory Demographics

  • CLIA Code: 33D2051614
  • Facility Name: ISLAND SURGICAL SUITE PC
  • Facility Address: 3072 EAST JERICHO TURNPIKE
    EAST NORTHPORT, NY
    ZIP 11731
  • Facility Phone: 631 509-5954
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUGUSTO S. DASILVA

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CLIA Record

Field Name Field Value
CLIA Number 33D2051614
LAB Type Physician Office
Facility Name ISLAND SURGICAL SUITE PC
Street 3072 EAST JERICHO TURNPIKE
City EAST NORTHPORT
State NY
ZIP 11731
Phone 631 509-5954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director AUGUSTO S. DASILVA

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This page was last updated on: 6/4/2025