33D0668986 CLIA NUMBER - MIDDLETOWN PARK REHABILITATION & HEALTH CARE CTR

Laboratory Demographics

  • CLIA Code: 33D0668986
  • Facility Name: MIDDLETOWN PARK REHABILITATION & HEALTH CARE CTR
  • Facility Address: 121 DUNNING ROAD
    MIDDLETOWN, NY
    ZIP 10940
  • Facility Phone: 845 343-0801
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SOODABEH ZOLFAGHARI
  • NPI Number: 1629064282
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0668986
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MIDDLETOWN PARK REHABILITATION & HEALTH CARE CTR
Street 121 DUNNING ROAD
City MIDDLETOWN
State NY
ZIP 10940
Phone 845 343-0801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SOODABEH ZOLFAGHARI

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This page was last updated on: 6/4/2025