33D0960211 CLIA NUMBER - DIGESTIVE DISEASE CENTER HISTOLOGY LAB

Laboratory Demographics

  • CLIA Code: 33D0960211
  • Facility Name: DIGESTIVE DISEASE CENTER HISTOLOGY LAB
  • Facility Address: 400 WESTAGE BUSINESS CTR DR, STE 104
    FISHKILL, NY
    ZIP 12524
  • Facility Phone: 845 231-5389
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. NICOS NICOLAOU
  • NPI Number: 1992759351
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0960211
LAB Type Physician Office
Facility Name DIGESTIVE DISEASE CENTER HISTOLOGY LAB
Street 400 WESTAGE BUSINESS CTR DR, STE 104
City FISHKILL
State NY
ZIP 12524
Phone 845 231-5389
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 9/13/2017
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. NICOS NICOLAOU

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