33D2191531 CLIA NUMBER - NORTH SHORE VASCULAR SURGERY PC

Laboratory Demographics

  • CLIA Code: 33D2191531
  • Facility Name: NORTH SHORE VASCULAR SURGERY PC
  • Facility Address: 620 ELLE TERRE ROAD STE 2
    PORT JEFFERSON, NY
    ZIP 11777
  • Facility Phone: 631 524-5960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AHMAD F. BHATTI
  • NPI Number: 1962889345
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2191531
LAB Type Physician Office
Facility Name NORTH SHORE VASCULAR SURGERY PC
Street 620 ELLE TERRE ROAD STE 2
City PORT JEFFERSON
State NY
ZIP 11777
Phone 631 524-5960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director DR. AHMAD F. BHATTI

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