33D0967510 CLIA NUMBER - PAVILION AT QUEENS FOR REHAB AND NURSING, THE

Laboratory Demographics

  • CLIA Code: 33D0967510
  • Facility Name: PAVILION AT QUEENS FOR REHAB AND NURSING, THE
  • Facility Address: 36-17 PARSONS BLVD
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 718 888-5200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. OLAF BUTCHMA

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CLIA Record

Field Name Field Value
CLIA Number 33D0967510
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PAVILION AT QUEENS FOR REHAB AND NURSING, THE
Street 36-17 PARSONS BLVD
City FLUSHING
State NY
ZIP 11354
Phone 718 888-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/1999
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. OLAF BUTCHMA

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