33D2039427 CLIA NUMBER - PARK AVENUE GASTROENTEROLOGY AND DIGESTIVE HEALTH

Laboratory Demographics

  • CLIA Code: 33D2039427
  • Facility Name: PARK AVENUE GASTROENTEROLOGY AND DIGESTIVE HEALTH
  • Facility Address: 755 PARK AVENUE, SUITE 200
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 683-4235
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GANG R. HE
  • NPI Number: 1023285301
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2039427
LAB Type Physician Office
Facility Name PARK AVENUE GASTROENTEROLOGY AND DIGESTIVE HEALTH
Street 755 PARK AVENUE, SUITE 200
City HUNTINGTON
State NY
ZIP 11743
Phone 631 683-4235
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 1/2/2023
Certificate Expiration Date 3/31/2025
Facility Type Physician Office
Lab Director DR. GANG R. HE

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This page was last updated on: 3/20/2025