33D2213487 CLIA NUMBER - SOMA MEDICAL SERVICES, PC

Laboratory Demographics

  • CLIA Code: 33D2213487
  • Facility Name: SOMA MEDICAL SERVICES, PC
  • Facility Address: 236 RICHMOND VALLEY ROAD
    STATEN ISLAND, NY
    ZIP 10309
  • Facility Phone: 718 682-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS P. ROUSSIS
  • NPI Number: 1720684087
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2213487
LAB Type Physician Office
Facility Name SOMA MEDICAL SERVICES, PC
Street 236 RICHMOND VALLEY ROAD
City STATEN ISLAND
State NY
ZIP 10309
Phone 718 682-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2021
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. NICHOLAS P. ROUSSIS

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