33D2205302 CLIA NUMBER - MARIA REGINA REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 33D2205302
  • Facility Name: MARIA REGINA REHABILITATION AND NURSING
  • Facility Address: 1725 BRENTWOOD RD
    BRENTWOOD, NY
    ZIP 11717
  • Facility Phone: 631 299-3000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL BISHAI
  • NPI Number: 1063419356
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2205302
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARIA REGINA REHABILITATION AND NURSING
Street 1725 BRENTWOOD RD
City BRENTWOOD
State NY
ZIP 11717
Phone 631 299-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2020
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MICHAEL BISHAI

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