33D0173513 CLIA NUMBER - ST ANN'S HOME FOR THE AGED

Laboratory Demographics

  • CLIA Code: 33D0173513
  • Facility Name: ST ANN'S HOME FOR THE AGED
  • Facility Address: 1500 PORTLAND AVENUE
    ROCHESTER, NY
    ZIP 14621
  • Facility Phone: 585 697-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KIM PETRONE
  • NPI Number: 1225067168
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0173513
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST ANN'S HOME FOR THE AGED
Street 1500 PORTLAND AVENUE
City ROCHESTER
State NY
ZIP 14621
Phone 585 697-6000
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. KIM PETRONE

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