33D0943649 CLIA NUMBER - GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVE HEALTH MEDICAL GROUP OF NEW YORK

Laboratory Demographics

  • CLIA Code: 33D0943649
  • Facility Name: GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVE HEALTH MEDICAL GROUP OF NEW YORK
  • Facility Address: 20 WEST LINCOLN AVENUE, SUITE 201
    VALLEY STREAM, NY
    ZIP 11580
  • Facility Phone: 516 872-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FREDRIC R. MILLER
  • NPI Number: 1841421542
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0943649
LAB Type Physician Office
Facility Name GASTROINTESTINAL CARE OF LONG ISLAND PLLC ALLIED DIGESTIVE HEALTH MEDICAL GROUP OF NEW YORK
Street 20 WEST LINCOLN AVENUE, SUITE 201
City VALLEY STREAM
State NY
ZIP 11580
Phone 516 872-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director DR. FREDRIC R. MILLER

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