33D2136735 CLIA NUMBER - DIGESTIVE DISEASES & NUTRITION, LLC

Laboratory Demographics

  • CLIA Code: 33D2136735
  • Facility Name: DIGESTIVE DISEASES & NUTRITION, LLC
  • Facility Address: 175-61 HILLSIDE AVENUE, SUITE 402
    JAMAICA EST, NY
    ZIP 11432
  • Facility Phone: 718 291-0488
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHAWN S. LIU
  • NPI Number: 1225208564
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2136735
LAB Type Physician Office
Facility Name DIGESTIVE DISEASES & NUTRITION, LLC
Street 175-61 HILLSIDE AVENUE, SUITE 402
City JAMAICA EST
State NY
ZIP 11432
Phone 718 291-0488
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 9/14/2017
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director SHAWN S. LIU

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