33D2299663 CLIA NUMBER - NORTHEAST SURGERY PC

Laboratory Demographics

  • CLIA Code: 33D2299663
  • Facility Name: NORTHEAST SURGERY PC
  • Facility Address: 666 LEXINGTON AVE - SUITE 104
    MOUNT KISCO, NY
    ZIP 10549
  • Facility Phone: 914 241-7111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN F. FARELLA
  • NPI Number: 1558314674
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2299663
LAB Type Ambulatory Surgery Center
Facility Name NORTHEAST SURGERY PC
Street 666 LEXINGTON AVE - SUITE 104
City MOUNT KISCO
State NY
ZIP 10549
Phone 914 241-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN F. FARELLA

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