33D2265192 CLIA NUMBER - BROOKHAVEN GASTROENTEROLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 33D2265192
  • Facility Name: BROOKHAVEN GASTROENTEROLOGY ASSOCIATES PC
  • Facility Address: 260 PATCHOGUE-YAPHANK ROAD SUITE D
    EAST PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 289-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI P. SINGH
  • NPI Number: 1447456652
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2265192
LAB Type Physician Office
Facility Name BROOKHAVEN GASTROENTEROLOGY ASSOCIATES PC
Street 260 PATCHOGUE-YAPHANK ROAD SUITE D
City EAST PATCHOGUE
State NY
ZIP 11772
Phone 631 289-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director RAVI P. SINGH

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