33D2230630 CLIA NUMBER - NEW YORK VASCULAR GROUP PLLC

Laboratory Demographics

  • CLIA Code: 33D2230630
  • Facility Name: NEW YORK VASCULAR GROUP PLLC
  • Facility Address: 19 LAUREL AVENUE SUITE 102
    CORNWALL, NY
    ZIP 12518
  • Facility Phone: 845 822-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAE J. HAHM
  • NPI Number: 1073128971
  • Taxonomy: 2086S0129X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2230630
LAB Type Physician Office
Facility Name NEW YORK VASCULAR GROUP PLLC
Street 19 LAUREL AVENUE SUITE 102
City CORNWALL
State NY
ZIP 12518
Phone 845 822-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director DR. SAE J. HAHM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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