33D0667962 CLIA NUMBER - SLATE VALLEY CENTER FOR REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 33D0667962
  • Facility Name: SLATE VALLEY CENTER FOR REHABILITATION AND NURSING
  • Facility Address: 10421 STATE RTE 40
    GRANVILLE, NY
    ZIP 12832
  • Facility Phone: 518 642-2346
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MIKRAM JAFRI
  • NPI Number: 1033645858
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0667962
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SLATE VALLEY CENTER FOR REHABILITATION AND NURSING
Street 10421 STATE RTE 40
City GRANVILLE
State NY
ZIP 12832
Phone 518 642-2346
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. MIKRAM JAFRI

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