33D2076627 CLIA NUMBER - NYEEQASC LLC

Home > CLIA Lookup > 33D2076627

Laboratory Demographics

CLIA Number: 33D2076627

Facility Name: NYEEQASC LLC

Facility Address:
45-64 FRANCIS LEWIS BLVD - SUITE 200
BAYSIDE, NY
ZIP 11361
Get Directions

Facility Phone Number: 929 258-7720

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1851717383

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	4/23/2014
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024