33D0994635 CLIA NUMBER - WINDSOR PARK NURSING HOME

Laboratory Demographics

  • CLIA Code: 33D0994635
  • Facility Name: WINDSOR PARK NURSING HOME
  • Facility Address: 212-40 HILLSIDE AVENUE
    QUEENS VILLAGE, NY
    ZIP 11428
  • Facility Phone: 718 468-0800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KAYMAR D. TAVAKOLI
  • NPI Number: 1639393168
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0994635
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WINDSOR PARK NURSING HOME
Street 212-40 HILLSIDE AVENUE
City QUEENS VILLAGE
State NY
ZIP 11428
Phone 718 468-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2005
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KAYMAR D. TAVAKOLI

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