33D0917566 CLIA NUMBER - GASTROENTEROLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 33D0917566

Facility Name: GASTROENTEROLOGY ASSOCIATES

Facility Address:
77 PLAZA BLVD SUITE 101
PLATTSBURGH, NY
ZIP 12901
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Facility Phone Number: 518 562-7171

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306869763

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name Field Value
CLIA Number 33D0917566
LAB Type Physician Office
Facility Name GASTROENTEROLOGY ASSOCIATES
Street 77 PLAZA BLVD SUITE 101
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 562-7171
CertificateType 4
CertificateEffectiveDate 7/23/2022
CertificateExpirationDate 7/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024