33D0173383 CLIA NUMBER - ST JOHN'S HEALTH CARE CORP DBA ST JOHN'S HOME

Laboratory Demographics

  • CLIA Code: 33D0173383
  • Facility Name: ST JOHN'S HEALTH CARE CORP DBA ST JOHN'S HOME
  • Facility Address: 150 HIGHLAND AVE
    ROCHESTER, NY
    ZIP 14620
  • Facility Phone: 585 271-1680
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. RENA PINE
  • NPI Number: 1497958987
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0173383
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST JOHN'S HEALTH CARE CORP DBA ST JOHN'S HOME
Street 150 HIGHLAND AVE
City ROCHESTER
State NY
ZIP 14620
Phone 585 271-1680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2005
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. RENA PINE

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