33D0910732 CLIA NUMBER - QUEENS BOULEVARD EXTENDED CARE FACILITY

Laboratory Demographics

  • CLIA Code: 33D0910732
  • Facility Name: QUEENS BOULEVARD EXTENDED CARE FACILITY
  • Facility Address: 61-11 QUEENS BOULEVARD
    WOODSIDE, NY
    ZIP 11377
  • Facility Phone: 718 205-0287
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KALPESH AMIN
  • NPI Number: 1548253313
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0910732
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name QUEENS BOULEVARD EXTENDED CARE FACILITY
Street 61-11 QUEENS BOULEVARD
City WOODSIDE
State NY
ZIP 11377
Phone 718 205-0287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/1996
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KALPESH AMIN

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