33D2076627 CLIA NUMBER - NYEEQASC LLC

Laboratory Demographics

  • CLIA Code: 33D2076627
  • Facility Name: NYEEQASC LLC
  • Facility Address: 45-64 FRANCIS LEWIS BLVD - SUITE 200
    BAYSIDE, NY
    ZIP 11361
  • Facility Phone: 929 258-7720
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PETER MENGER
  • NPI Number: 1851717383
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2076627
LAB Type Ambulatory Surgery Center
Facility Name NYEEQASC LLC
Street 45-64 FRANCIS LEWIS BLVD - SUITE 200
City BAYSIDE
State NY
ZIP 11361
Phone 929 258-7720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2014
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. PETER MENGER

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