33D2151768 CLIA NUMBER - ISLANDWIDE GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2151768
  • Facility Name: ISLANDWIDE GASTROENTEROLOGY PC
  • Facility Address: 1205 FRANKLIN AVENUE, SUITE 105
    GARDEN CITY, NY
    ZIP 11530
  • Facility Phone: 516 458-6258
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. QINGHU REN
  • NPI Number: 1427290907
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2151768
LAB Type Physician Office
Facility Name ISLANDWIDE GASTROENTEROLOGY PC
Street 1205 FRANKLIN AVENUE, SUITE 105
City GARDEN CITY
State NY
ZIP 11530
Phone 516 458-6258
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 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director DR. QINGHU REN

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