33D2051320 CLIA NUMBER - FORESTDALE INC

Laboratory Demographics

  • CLIA Code: 33D2051320
  • Facility Name: FORESTDALE INC
  • Facility Address: 67-35 112TH ST - BLDG 3
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 263-0740
  • Facility Type: Other - FOSTER CARE AGENCY
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON R. BLOOM
  • NPI Number: 1790803831
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 33D2051320
LAB Type Other - FOSTER CARE AGENCY
Facility Name FORESTDALE INC
Street 67-35 112TH ST - BLDG 3
City FOREST HILLS
State NY
ZIP 11375
Phone 718 263-0740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2012
Certificate Expiration Date 3/26/2027
Facility Type Other - FOSTER CARE AGENCY
Lab Director DR. ALLISON R. BLOOM

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