33D0172109 CLIA NUMBER - NEWARK MANOR NURSING HOME INC

Laboratory Demographics

  • CLIA Code: 33D0172109
  • Facility Name: NEWARK MANOR NURSING HOME INC
  • Facility Address: 222 W PEARL STREET
    NEWARK, NY
    ZIP 14513
  • Facility Phone: 315 331-4690
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT YAVOREK
  • NPI Number: 1407851629
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0172109
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEWARK MANOR NURSING HOME INC
Street 222 W PEARL STREET
City NEWARK
State NY
ZIP 14513
Phone 315 331-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1994
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. VINCENT YAVOREK

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