33D2123068 CLIA NUMBER - LIBERTY ENDO LLC

Laboratory Demographics

  • CLIA Code: 33D2123068
  • Facility Name: LIBERTY ENDO LLC
  • Facility Address: 156 WILLIAM STREET
    NEW YORK, NY
    ZIP 10038
  • Facility Phone: 646 215-2244
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PETER S. KIM
  • NPI Number: 1689029316
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2123068
LAB Type Ambulatory Surgery Center
Facility Name LIBERTY ENDO LLC
Street 156 WILLIAM STREET
City NEW YORK
State NY
ZIP 10038
Phone 646 215-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2016
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. PETER S. KIM

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