33D2109794 CLIA NUMBER - RICHMOND ASC LLC

Laboratory Demographics

CLIA Number: 33D2109794

Facility Name: RICHMOND ASC LLC

Facility Address:
1360 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10305
Get Directions

Facility Phone Number: 718 208-4418

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1730540600

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2109794
LAB Type	Ambulatory Surgery Center
Facility Name	RICHMOND ASC LLC
Street	1360 HYLAN BLVD
City	STATEN ISLAND
State	NY
ZIP	10305
Phone	718 208-4418
CertificateType	4
CertificateEffectiveDate	3/2/2016
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