33D0163034 CLIA NUMBER - ELLENVILLE REGIONAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 33D0163034
  • Facility Name: ELLENVILLE REGIONAL HOSPITAL
  • Facility Address: 10 HEALTHY WAY
    ELLENVILLE, NY
    ZIP 12428
  • Facility Phone: 845 647-6400
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARIUS J. ILARIO
  • NPI Number: 1346396827
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D0163034
LAB Type Hospital
Facility Name ELLENVILLE REGIONAL HOSPITAL
Street 10 HEALTHY WAY
City ELLENVILLE
State NY
ZIP 12428
Phone 845 647-6400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/28/1995
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DR. MARIUS J. ILARIO

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This page was last updated on: 6/4/2025