33D2309216 CLIA NUMBER - WESTSIDE ASC LLC

Laboratory Demographics

  • CLIA Code: 33D2309216
  • Facility Name: WESTSIDE ASC LLC
  • Facility Address: 450 W 31ST ST - UNIT 2A
    NEW YORK, NY
    ZIP 10001
  • Facility Phone: 646 422-7571
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN J. KHADEM
  • NPI Number: 1811174618
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 33D2309216
LAB Type Ambulatory Surgery Center
Facility Name WESTSIDE ASC LLC
Street 450 W 31ST ST - UNIT 2A
City NEW YORK
State NY
ZIP 10001
Phone 646 422-7571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN J. KHADEM

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