33D2064444 CLIA NUMBER - PROMENADE REHABILITATION AND HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 33D2064444
  • Facility Name: PROMENADE REHABILITATION AND HEALTH CARE CENTER
  • Facility Address: 140 BEACH 114TH STREET
    ROCKAWAY PARK, NY
    ZIP 11694
  • Facility Phone: 718 945-4600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL D. BUFF
  • NPI Number: 1992856751
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2064444
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PROMENADE REHABILITATION AND HEALTH CARE CENTER
Street 140 BEACH 114TH STREET
City ROCKAWAY PARK
State NY
ZIP 11694
Phone 718 945-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2017
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DANIEL D. BUFF

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