33D0159780 CLIA NUMBER - GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVE HEALTH MEDICAL GROUP OF NEW YORK

Laboratory Demographics

  • CLIA Code: 33D0159780
  • Facility Name: GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVE HEALTH MEDICAL GROUP OF NEW YORK
  • Facility Address: 2155 WANTAGH AVENUE
    WANTAGH, NY
    ZIP 11793
  • Facility Phone: 516 785-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL C. BARTH
  • NPI Number: 1760664395
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0159780
LAB Type Physician Office
Facility Name GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVE HEALTH MEDICAL GROUP OF NEW YORK
Street 2155 WANTAGH AVENUE
City WANTAGH
State NY
ZIP 11793
Phone 516 785-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director DR. MICHAEL C. BARTH

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