33D0172341 CLIA NUMBER - WEDGEWOOD NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 33D0172341
  • Facility Name: WEDGEWOOD NURSING AND REHABILITATION CENTER
  • Facility Address: 5 CHURCH STREET
    SPENCERPORT, NY
    ZIP 14559
  • Facility Phone: 585 352-4810
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARK ILYAGU
  • NPI Number: 1679082960
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0172341
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEDGEWOOD NURSING AND REHABILITATION CENTER
Street 5 CHURCH STREET
City SPENCERPORT
State NY
ZIP 14559
Phone 585 352-4810
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. MARK ILYAGU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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