33D0654102 CLIA NUMBER - ST JOHNS EPISCOPAL HOSPITAL SOUTH SHORE

Laboratory Demographics

  • CLIA Code: 33D0654102
  • Facility Name: ST JOHNS EPISCOPAL HOSPITAL SOUTH SHORE
  • Facility Address: 327 BEACH 19TH STREET
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 868-7332
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MIGUEL G. ECHEVARRIA
  • NPI Number: 1023042173
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0654102
LAB Type Hospital
Facility Name ST JOHNS EPISCOPAL HOSPITAL SOUTH SHORE
Street 327 BEACH 19TH STREET
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 868-7332
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 8/28/1995
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DR. MIGUEL G. ECHEVARRIA

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