33D2069058 CLIA NUMBER - LONG ISLAND VASCULAR & SURGICAL PC

Laboratory Demographics

  • CLIA Code: 33D2069058
  • Facility Name: LONG ISLAND VASCULAR & SURGICAL PC
  • Facility Address: 231 WASHINGTON AVENUE
    GARDEN CITY, NY
    ZIP 11530
  • Facility Phone: 516 227-2721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. XENOPHON P. XENOPHONTOS
  • NPI Number: 1306896410
  • Taxonomy: 2086S0129X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2069058
LAB Type Physician Office
Facility Name LONG ISLAND VASCULAR & SURGICAL PC
Street 231 WASHINGTON AVENUE
City GARDEN CITY
State NY
ZIP 11530
Phone 516 227-2721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director DR. XENOPHON P. XENOPHONTOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025