33D2044822 CLIA NUMBER - ADVANCED GASTROENTEROLOGY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2044822
  • Facility Name: ADVANCED GASTROENTEROLOGY PRACTICE PLLC
  • Facility Address: 77 BOWERY STREET, SUITE 701
    NEW YORK, NY
    ZIP 10002
  • Facility Phone: 212 775-8388
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. QIUSHENG SI
  • NPI Number: 1083962948
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2044822
LAB Type Physician Office
Facility Name ADVANCED GASTROENTEROLOGY PRACTICE PLLC
Street 77 BOWERY STREET, SUITE 701
City NEW YORK
State NY
ZIP 10002
Phone 212 775-8388
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 8/28/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. QIUSHENG SI

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