33D2207893 CLIA NUMBER - BOULEVARD ALP

Laboratory Demographics

  • CLIA Code: 33D2207893
  • Facility Name: BOULEVARD ALP
  • Facility Address: 71-61 159TH ST
    FRESH MEADOWS, NY
    ZIP 11365
  • Facility Phone: 718 969-7500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. ADAM D. ZEITLIN
  • NPI Number: 1508056334
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2207893
LAB Type Assisted Living Facility
Facility Name BOULEVARD ALP
Street 71-61 159TH ST
City FRESH MEADOWS
State NY
ZIP 11365
Phone 718 969-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2020
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. ADAM D. ZEITLIN

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