33D0152476 CLIA NUMBER - MARGARET TIETZ NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 33D0152476
  • Facility Name: MARGARET TIETZ NURSING & REHABILITATION CENTER
  • Facility Address: 164-11 CHAPIN PKWY
    JAMAICA, NY
    ZIP 11432
  • Facility Phone: 718 298-7800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. NODAR JANAS
  • NPI Number: 1346704905
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0152476
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARGARET TIETZ NURSING & REHABILITATION CENTER
Street 164-11 CHAPIN PKWY
City JAMAICA
State NY
ZIP 11432
Phone 718 298-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1994
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. NODAR JANAS

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