33D2191334 CLIA NUMBER - NORTHEAST ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 33D2191334
  • Facility Name: NORTHEAST ENDOSCOPY LLC
  • Facility Address: 235 N BELLE MEADE AVE
    EAST SETAUKET, NY
    ZIP 11733
  • Facility Phone: 646 281-1103
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. NILESH MEHTA
  • NPI Number: 1043845340
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2191334
LAB Type Ambulatory Surgery Center
Facility Name NORTHEAST ENDOSCOPY LLC
Street 235 N BELLE MEADE AVE
City EAST SETAUKET
State NY
ZIP 11733
Phone 646 281-1103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2020
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. NILESH MEHTA

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