33D0686661 CLIA NUMBER - PENFIELD PLACE LLC

Laboratory Demographics

  • CLIA Code: 33D0686661
  • Facility Name: PENFIELD PLACE LLC
  • Facility Address: 1700 PENFIELD ROAD
    PENFIELD, NY
    ZIP 14526
  • Facility Phone: 585 586-7433
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DALLAS L. NELSON
  • NPI Number: 1275538407
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0686661
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PENFIELD PLACE LLC
Street 1700 PENFIELD ROAD
City PENFIELD
State NY
ZIP 14526
Phone 585 586-7433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2002
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DALLAS L. NELSON

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