33D0916085 CLIA NUMBER - NEW SURFSIDE NURSING HOME LLC

Laboratory Demographics

  • CLIA Code: 33D0916085
  • Facility Name: NEW SURFSIDE NURSING HOME LLC
  • Facility Address: 22-41 NEW HAVEN AVE
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 471-3400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. POLINA RAKHANINA
  • NPI Number: 1063419612
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0916085
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEW SURFSIDE NURSING HOME LLC
Street 22-41 NEW HAVEN AVE
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 471-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/1996
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. POLINA RAKHANINA

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