33D2014602 CLIA NUMBER - HANA GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2014602
  • Facility Name: HANA GASTROENTEROLOGY PC
  • Facility Address: 153-01 NORTHERN BLVD - SUITE D
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 718 321-3210
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JAE GEUN HYUN
  • NPI Number: 1104139070
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2014602
LAB Type Ambulatory Surgery Center
Facility Name HANA GASTROENTEROLOGY PC
Street 153-01 NORTHERN BLVD - SUITE D
City FLUSHING
State NY
ZIP 11354
Phone 718 321-3210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2010
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JAE GEUN HYUN

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This page was last updated on: 6/4/2025