33D2309779 CLIA NUMBER - GRAND UNION HOLISTIC SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 33D2309779
  • Facility Name: GRAND UNION HOLISTIC SOLUTIONS LLC
  • Facility Address: 1150 SOUTH AVE - SUITE 200
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: (929) 487-0003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANGEET KHANNA
  • NPI Number: 1003677998
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2309779
LAB Type Physician Office
Facility Name GRAND UNION HOLISTIC SOLUTIONS LLC
Street 1150 SOUTH AVE - SUITE 200
City STATEN ISLAND
State NY
ZIP 10314
Phone 9294870003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. SANGEET KHANNA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026