33D2166718 CLIA NUMBER - NORTH FORK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 33D2166718
  • Facility Name: NORTH FORK SURGERY CENTER
  • Facility Address: 700 BOISSEAU AVE
    SOUTHOLD, NY
    ZIP 11971
  • Facility Phone: 631 477-5353
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. FRANK ADIPIETRO
  • NPI Number: 1295365864
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2166718
LAB Type Ambulatory Surgery Center
Facility Name NORTH FORK SURGERY CENTER
Street 700 BOISSEAU AVE
City SOUTHOLD
State NY
ZIP 11971
Phone 631 477-5353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2019
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. FRANK ADIPIETRO

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