33D2196633 CLIA NUMBER - NEW BROADVIEW MANOR HOME FOR ADULTS

Laboratory Demographics

  • CLIA Code: 33D2196633
  • Facility Name: NEW BROADVIEW MANOR HOME FOR ADULTS
  • Facility Address: 70 FATHER CAPODANNO BLVD
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: (718) 273-8900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. PEYMAN E. YOUNESI
  • NPI Number: 1104041029
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2196633
LAB Type Assisted Living Facility
Facility Name NEW BROADVIEW MANOR HOME FOR ADULTS
Street 70 FATHER CAPODANNO BLVD
City STATEN ISLAND
State NY
ZIP 10305
Phone 7182738900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2020
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. PEYMAN E. YOUNESI

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This page was last updated on: 5/18/2026