33D2232838 CLIA NUMBER - EPISCOPAL HEALTH SERVICES INC ST JOHN'S HOSPITAL

Laboratory Demographics

  • CLIA Code: 33D2232838
  • Facility Name: EPISCOPAL HEALTH SERVICES INC ST JOHN'S HOSPITAL
  • Facility Address: 495 BEACH 20TH ST
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 347 619-9092
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MIGUEL G. ECHEVARRIA
  • NPI Number: 1689151201
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2232838
LAB Type Ancillary Testing Site in Health Care Center
Facility Name EPISCOPAL HEALTH SERVICES INC ST JOHN'S HOSPITAL
Street 495 BEACH 20TH ST
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 347 619-9092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2021
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MIGUEL G. ECHEVARRIA

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