33D2229649 CLIA NUMBER - AS MEDICAL PC

Laboratory Demographics

CLIA Number: 33D2229649

Facility Name: AS MEDICAL PC

Facility Address:
2493 RICHMOND RD SUITE # 2
STATEN ISLAND, NY
ZIP 10306
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Facility Phone Number: 718 227-5505

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902262322

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2229649
LAB Type	Physician Office
Facility Name	AS MEDICAL PC
Street	2493 RICHMOND RD SUITE # 2
City	STATEN ISLAND
State	NY
ZIP	10306
Phone	718 227-5505
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024