33D2245377 CLIA NUMBER - ATLANTIC SC LLC DBA ATLANTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 33D2245377
  • Facility Name: ATLANTIC SC LLC DBA ATLANTIC SURGERY CENTER
  • Facility Address: 1145 MONTAUK HWY
    WEST ISLIP, NY
    ZIP 11795
  • Facility Phone: 631 587-2141
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. NITIN MARIWALLA
  • NPI Number: 1295494359
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2245377
LAB Type Ambulatory Surgery Center
Facility Name ATLANTIC SC LLC DBA ATLANTIC SURGERY CENTER
Street 1145 MONTAUK HWY
City WEST ISLIP
State NY
ZIP 11795
Phone 631 587-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2021
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. NITIN MARIWALLA

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