33D2145458 CLIA NUMBER - THE PHOENIX REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 33D2145458
  • Facility Name: THE PHOENIX REHABILITATION AND NURSING CENTER
  • Facility Address: 140 SAINT EDWARDS STREET
    BROOKLYN, NY
    ZIP 11201
  • Facility Phone: 718 858-6400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. OLUSEGUN O. OGUNFOWORA
  • NPI Number: 1366847451
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2145458
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THE PHOENIX REHABILITATION AND NURSING CENTER
Street 140 SAINT EDWARDS STREET
City BROOKLYN
State NY
ZIP 11201
Phone 718 858-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2018
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. OLUSEGUN O. OGUNFOWORA

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