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: 1447286174
  • Taxonomy: 333600000X - Pharmacy

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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 516 269-5800
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: 6/4/2025