33D2229133 CLIA NUMBER - WAVECREST HFA INC

Laboratory Demographics

  • CLIA Code: 33D2229133
  • Facility Name: WAVECREST HFA INC
  • Facility Address: 242 BEACH 20TH ST
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 471-5500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALVIN D. HOLCOMB
  • NPI Number: 1063926301
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2229133
LAB Type Assisted Living Facility
Facility Name WAVECREST HFA INC
Street 242 BEACH 20TH ST
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 471-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2021
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. ALVIN D. HOLCOMB

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