33D2293869 CLIA NUMBER - MANHATTAN GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2293869
  • Facility Name: MANHATTAN GASTROENTEROLOGY PC
  • Facility Address: 80 MAIDEN LANE, SUITE 1204
    NEW YORK, NY
    ZIP 10038
  • Facility Phone: 212 427-8761
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHAWN KHODADADIAN
  • NPI Number: 1922396472
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2293869
LAB Type Physician Office
Facility Name MANHATTAN GASTROENTEROLOGY PC
Street 80 MAIDEN LANE, SUITE 1204
City NEW YORK
State NY
ZIP 10038
Phone 212 427-8761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director DR. SHAWN KHODADADIAN

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