33D2109794 CLIA NUMBER - RICHMOND ASC LLC

Laboratory Demographics

  • CLIA Code: 33D2109794
  • Facility Name: RICHMOND ASC LLC
  • Facility Address: 1360 HYLAN BLVD
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: 718 208-4418
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH B. CHAPMAN
  • NPI Number: 1730540600
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2016
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. KENNETH B. CHAPMAN

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