33D1076251 CLIA NUMBER - LAKEVIEW FIRE DISTRICT

Laboratory Demographics

CLIA Number: 33D1076251

Facility Name: LAKEVIEW FIRE DISTRICT

Facility Address:
895 WOODFIELD ROAD
WEST HEMPSTEAD, NY
ZIP 11552
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Facility Phone Number: 516 255-5190

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1457508061

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	33D1076251
LAB Type	Ambulance
Facility Name	LAKEVIEW FIRE DISTRICT
Street	895 WOODFIELD ROAD
City	WEST HEMPSTEAD
State	NY
ZIP	11552
Phone	516 255-5190
CertificateType	4
CertificateEffectiveDate	11/8/2007
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024