33D0675542 CLIA NUMBER - VICTORY LAKE OPERATIONS LLC DBA THE ELEANOR NURSING CARE CENTER

Laboratory Demographics

  • CLIA Code: 33D0675542
  • Facility Name: VICTORY LAKE OPERATIONS LLC DBA THE ELEANOR NURSING CARE CENTER
  • Facility Address: 419 N QUAKER LANE
    HYDE PARK, NY
    ZIP 12538
  • Facility Phone: 845 229-9177
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DEEPESH PATEL
  • NPI Number: 1164419511
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0675542
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VICTORY LAKE OPERATIONS LLC DBA THE ELEANOR NURSING CARE CENTER
Street 419 N QUAKER LANE
City HYDE PARK
State NY
ZIP 12538
Phone 845 229-9177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2006
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DEEPESH PATEL

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