CLIA lab
CLIA 33D0654069: Queen of Peace Residence
Queens Village, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0654069 belongs to Queen of Peace Residence in Queens Village, NY.
Certificate of Waiver, effective September 1, 1994, expires March 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 1994
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D0654069
- Lab name
- Queen of Peace Residence
- Address
- 110-30 221st Street, Queens Village, NY 11429
- Phone
- (718) 464-1800
- Fax
- (718) 465-9114
Annual test volume the lab reported
- Waived tests
- 10,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Queen Of Peace ResidenceCMS Care Compare ratings for the facility at the same street address
Other labs in Queens Village, NY
- American Access Care Physician PLLCCertificate of Waiver, Other33D1096457
- Antoine V Charles MDCertificate of Waiver, Physician office33D0890363
- City Medical of Upper East Side, PLLCCertificate of Waiver, Physician office33D2219721
- Creedmoor AtcCertificate of Waiver, Comprehensive outpatient rehab facility33D2092565
- Creedmoor Psychiatric CenterCertificate of Waiver, Hospital33D2029184
- David S Schnapp MD PCCertificate of Compliance, Physician office33D1014438
- Divinity Medical Services PLLC DBA Afc UrgentCertificate of Waiver, Community clinic33D2280927
- Fresenius Kidney Care - Queens VillageCertificate of Waiver, End stage renal disease dialysis facility33D2212442
- Jamaica Family Practice & Osteopathic Medicine PCCertificate of Waiver, Physician office33D2067743
- Kamyar David Tavakoli, MDCertificate of Waiver, Physician office33D0883828
Related
Questions
What is the CLIA number for Queen of Peace Residence in Queens Village?
33D0654069, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Queen of Peace Residence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0654069 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect September 1, 1994.