CLIA lab
CLIA 33D0904216: Hollis Park Manor Nursing Home Inc
Hollis, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0904216 belongs to Hollis Park Manor Nursing Home Inc in Hollis, NY.
Certificate of Waiver, effective August 11, 1995, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 11, 1995
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 1995
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA exempt laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D0904216
- Lab name
- Hollis Park Manor Nursing Home Inc
- Address
- 191-06 Hillside Avenue, Hollis, NY 11423
- Phone
- (718) 479-1010
- Fax
- (718) 479-5301
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Hollis Park Manor Nursing HomeCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Hollis, NY
- Body By Yashi Gordon RPN PLLCCertificate of Waiver, Other practitioner33D2348192
- Forest Hills GastroenterologyCertificate of Compliance, Physician office33D1001097
- Healthmed Diagnostic and Treatment CenterCertificate of Waiver, Ancillary test site33D2232270
- Holliswood Center for Rehab andCertificate of Waiver, Skilled nursing or nursing facility33D2028661
- Howard W Bradnock MD PCCertificate of Waiver, Physician office33D1097126
- N K Shah Medical, PCCertificate of Waiver, Physician office33D2107016
- Olusegun M Adeonigbagbe MD PCCertificate of Waiver, Physician office33D1095777
- Supreme Medical Care PLLCCertificate of Waiver, Physician office33D2094506
Related
Questions
What is the CLIA number for Hollis Park Manor Nursing Home Inc in Hollis?
33D0904216, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hollis Park Manor Nursing Home Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0904216 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect August 11, 1995.