33D2317419 CLIA NUMBER - NEW YORK VASCULAR INTERVENTION PLLC

Laboratory Demographics

  • CLIA Code: 33D2317419
  • Facility Name: NEW YORK VASCULAR INTERVENTION PLLC
  • Facility Address: 6175 SUNRISE HWY
    MASSAPEQUA, NY
    ZIP 11758
  • Facility Phone: 516 858-0410
  • Facility Type: Other - OFC BASED VASC LAB
  • Facility Type: Waiver
  • Lab Director: DR. JEEFREY A. HAMILTON
  • NPI Number: 1548048291
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2317419
LAB Type Other - OFC BASED VASC LAB
Facility Name NEW YORK VASCULAR INTERVENTION PLLC
Street 6175 SUNRISE HWY
City MASSAPEQUA
State NY
ZIP 11758
Phone 516 858-0410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 3/26/2027
Facility Type Other - OFC BASED VASC LAB
Lab Director DR. JEEFREY A. HAMILTON

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