33D0136293 CLIA NUMBER - GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVEHEALTH MEDICAL GROUP OF NEW YORK

Laboratory Demographics

  • CLIA Code: 33D0136293
  • Facility Name: GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVEHEALTH MEDICAL GROUP OF NEW YORK
  • Facility Address: 1840 WILLIAMSBRIDGE ROAD
    BRONX, NY
    ZIP 10461
  • Facility Phone: 718 828-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN B. BHARUCHA
  • NPI Number: 1851408017
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0136293
LAB Type Physician Office
Facility Name GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVEHEALTH MEDICAL GROUP OF NEW YORK
Street 1840 WILLIAMSBRIDGE ROAD
City BRONX
State NY
ZIP 10461
Phone 718 828-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STEPHEN B. BHARUCHA

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