33D0654188 CLIA NUMBER - ST JOHNLAND NURSING CENTER INC

Laboratory Demographics

  • CLIA Code: 33D0654188
  • Facility Name: ST JOHNLAND NURSING CENTER INC
  • Facility Address: 395 SUNKEN MEADOW RD
    KINGS PARK, NY
    ZIP 11754
  • Facility Phone: (516) 269-5800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. YELENA FAYNZILBERT
  • NPI Number: 1336219658
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0654188
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST JOHNLAND NURSING CENTER INC
Street 395 SUNKEN MEADOW RD
City KINGS PARK
State NY
ZIP 11754
Phone 5162695800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2004
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. YELENA FAYNZILBERT

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This page was last updated on: 6/29/2026