33D1084510 CLIA NUMBER - ST MARY'S HOSPITAL FOR CHILDREN

Laboratory Demographics

CLIA Number: 33D1084510

Facility Name: ST MARY'S HOSPITAL FOR CHILDREN

Facility Address:
2901 216TH STREET
BAYSIDE, NY
ZIP 11360
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Facility Phone Number: 718 819-2757

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1093981557

Taxonomy: 3140N1450X - Skilled Nursing Facility
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

CLIA Record

Field Name	Field Value
CLIA Number	33D1084510
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ST MARY'S HOSPITAL FOR CHILDREN
Street	2901 216TH STREET
City	BAYSIDE
State	NY
ZIP	11360
Phone	718 819-2757
CertificateType	4
CertificateEffectiveDate	11/14/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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