33D2054377 CLIA NUMBER - ROOSEVELT SC LLC DBA MANHATTAN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 33D2054377
  • Facility Name: ROOSEVELT SC LLC DBA MANHATTAN SURGERY CENTER
  • Facility Address: 619 W 54TH ST - SUITE 602
    NEW YORK, NY
    ZIP 10019
  • Facility Phone: 212 231-7897
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW P. SCHWARTZ
  • NPI Number: 1598039125
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2054377
LAB Type Ambulatory Surgery Center
Facility Name ROOSEVELT SC LLC DBA MANHATTAN SURGERY CENTER
Street 619 W 54TH ST - SUITE 602
City NEW YORK
State NY
ZIP 10019
Phone 212 231-7897
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2013
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ANDREW P. SCHWARTZ

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