33D2147430 CLIA NUMBER - ENDO GROUP LLC SYOSSET SURGICENTER

Laboratory Demographics

  • CLIA Code: 33D2147430
  • Facility Name: ENDO GROUP LLC SYOSSET SURGICENTER
  • Facility Address: 240 JERICHO TURNPIKE
    SYOSSET, NY
    ZIP 11791
  • Facility Phone: 516 832-8504
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY E. MAIT
  • NPI Number: 1639261407
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2147430
LAB Type Ambulatory Surgery Center
Facility Name ENDO GROUP LLC SYOSSET SURGICENTER
Street 240 JERICHO TURNPIKE
City SYOSSET
State NY
ZIP 11791
Phone 516 832-8504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2018
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JEFFREY E. MAIT

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