33D2080193 CLIA NUMBER - AVICENNA AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 33D2080193
  • Facility Name: AVICENNA AMBULATORY SURGERY CENTER
  • Facility Address: 2522 HUGHES AVENUE
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 933-1918
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SUZANNE G. YU
  • NPI Number: 1619398542
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2080193
LAB Type Ambulatory Surgery Center
Facility Name AVICENNA AMBULATORY SURGERY CENTER
Street 2522 HUGHES AVENUE
City BRONX
State NY
ZIP 10458
Phone 718 933-1918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2014
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. SUZANNE G. YU

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