33D2278335 CLIA NUMBER - STATEN ISLAND GSC

Laboratory Demographics

  • CLIA Code: 33D2278335
  • Facility Name: STATEN ISLAND GSC
  • Facility Address: 2043 RICHMOND AVE - 1ST FL
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: 718 975-7574
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. IGOR GROSMAN
  • NPI Number: 1033815915
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2278335
LAB Type Ambulatory Surgery Center
Facility Name STATEN ISLAND GSC
Street 2043 RICHMOND AVE - 1ST FL
City STATEN ISLAND
State NY
ZIP 10314
Phone 718 975-7574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. IGOR GROSMAN

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