33D2207907 CLIA NUMBER - QUEENS ADULT CARE CENTER

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Laboratory Demographics

CLIA Number: 33D2207907

Facility Name: QUEENS ADULT CARE CENTER

Facility Address:
8008 45TH AVE
ELMHURST, NY
ZIP 11373
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Facility Phone Number: 716 639-1800

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1669885174

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	33D2207907
LAB Type	Assisted Living Facility
Facility Name	QUEENS ADULT CARE CENTER
Street	8008 45TH AVE
City	ELMHURST
State	NY
ZIP	11373
Phone	716 639-1800
CertificateType	4
CertificateEffectiveDate	12/31/2020
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024