33D2266647 CLIA NUMBER - FIVE TOWNS GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 33D2266647
  • Facility Name: FIVE TOWNS GASTROENTEROLOGY
  • Facility Address: 657 CENTRAL AVENUE #2
    CEDARHURST, NY
    ZIP 11516
  • Facility Phone: (516) 374-5570
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOSEPH ILASI
  • NPI Number: 1841608601
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2266647
LAB Type Physician Office
Facility Name FIVE TOWNS GASTROENTEROLOGY
Street 657 CENTRAL AVENUE #2
City CEDARHURST
State NY
ZIP 11516
Phone 5163745570
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 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director DR. JOSEPH ILASI

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This page was last updated on: 5/15/2026