33D2170919 CLIA NUMBER - STATEN ISLAND CARE CENTER

Laboratory Demographics

  • CLIA Code: 33D2170919
  • Facility Name: STATEN ISLAND CARE CENTER
  • Facility Address: 200 LAFAYETTE AVE
    STATEN ISLAND, NY
    ZIP 10301
  • Facility Phone: 718 966-3200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. AKIVA BERGMAN
  • NPI Number: 1144678954
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2170919
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STATEN ISLAND CARE CENTER
Street 200 LAFAYETTE AVE
City STATEN ISLAND
State NY
ZIP 10301
Phone 718 966-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2019
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. AKIVA BERGMAN

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