10D0024358 CLIA NUMBER - JACKSON HEIGHTS NURSING AND REHAB LLC

Laboratory Demographics

  • CLIA Code: 10D0024358
  • Facility Name: JACKSON HEIGHTS NURSING AND REHAB LLC
  • Facility Address: 1404 NW 22ND STREET
    MIAMI, FL
    ZIP 33142
  • Facility Phone: 305 325-1050
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANNET PEREZ CARDENAS
  • NPI Number: 1184629743
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0024358
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JACKSON HEIGHTS NURSING AND REHAB LLC
Street 1404 NW 22ND STREET
City MIAMI
State FL
ZIP 33142
Phone 305 325-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JANNET PEREZ CARDENAS

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