33D2007879 CLIA NUMBER - EXTRAORDINARY HOME CARE D/B/A ST MARYS HOME CARE

Laboratory Demographics

  • CLIA Code: 33D2007879
  • Facility Name: EXTRAORDINARY HOME CARE D/B/A ST MARYS HOME CARE
  • Facility Address: 333 EARLE OVINGTON BLVD - SUITE 600
    UNIONDALE, NY
    ZIP 11553
  • Facility Phone: 718 471-9300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. ELVIRA FARDELLA-ROVETO
  • NPI Number: 1962728071
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2007879
LAB Type Home Health Agency
Facility Name EXTRAORDINARY HOME CARE D/B/A ST MARYS HOME CARE
Street 333 EARLE OVINGTON BLVD - SUITE 600
City UNIONDALE
State NY
ZIP 11553
Phone 718 471-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2010
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director MS. ELVIRA FARDELLA-ROVETO

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