33D2089853 CLIA NUMBER - ISLAND AMBULATORY SURGERY CENTER

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Laboratory Demographics

CLIA Number: 33D2089853

Facility Name: ISLAND AMBULATORY SURGERY CENTER

Facility Address:
2279-83 CONEY ISLAND AVE - GROUND FLOOR
BROOKLYN, NY
ZIP 11223
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Facility Phone Number: 718 998-9400

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1033517263

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2089853
LAB Type	Ambulatory Surgery Center
Facility Name	ISLAND AMBULATORY SURGERY CENTER
Street	2279-83 CONEY ISLAND AVE - GROUND FLOOR
City	BROOKLYN
State	NY
ZIP	11223
Phone	718 998-9400
CertificateType	4
CertificateEffectiveDate	11/16/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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