33D0938480 CLIA NUMBER - GAMALIEL IMMANUEL PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D0938480
  • Facility Name: GAMALIEL IMMANUEL PHYSICIAN PC
  • Facility Address: 230 HILTON AVENUE, SUITE 214
    HEMPSTEAD, NY
    ZIP 11550
  • Facility Phone: 516 565-5556
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHAWN S. LIU
  • NPI Number: 1598855231
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0938480
LAB Type Physician Office
Facility Name GAMALIEL IMMANUEL PHYSICIAN PC
Street 230 HILTON AVENUE, SUITE 214
City HEMPSTEAD
State NY
ZIP 11550
Phone 516 565-5556
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director DR. SHAWN S. LIU

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