33D2133592 CLIA NUMBER - MASSAPEQUA CENTER REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 33D2133592
  • Facility Name: MASSAPEQUA CENTER REHABILITATION AND NURSING
  • Facility Address: 101 LOUDEN AVE
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 631 264-0222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. OLAF BUTCHMA
  • NPI Number: 1104355536
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2133592
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MASSAPEQUA CENTER REHABILITATION AND NURSING
Street 101 LOUDEN AVE
City AMITYVILLE
State NY
ZIP 11701
Phone 631 264-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2017
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. OLAF BUTCHMA

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