33D1096515 CLIA NUMBER - GASTROENTEROLOGY & LIVER DISEASE PC

Laboratory Demographics

  • CLIA Code: 33D1096515
  • Facility Name: GASTROENTEROLOGY & LIVER DISEASE PC
  • Facility Address: 107-21 QUEENS BOULEVARD, SUITE 4
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 520-0857
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALLAN R. LI
  • NPI Number: 1891034500
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1096515
LAB Type Physician Office
Facility Name GASTROENTEROLOGY & LIVER DISEASE PC
Street 107-21 QUEENS BOULEVARD, SUITE 4
City FOREST HILLS
State NY
ZIP 11375
Phone 718 520-0857
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 1/14/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ALLAN R. LI

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