33D0687618 CLIA NUMBER - HERITAGE GREEN NURSING HOME

Laboratory Demographics

  • CLIA Code: 33D0687618
  • Facility Name: HERITAGE GREEN NURSING HOME
  • Facility Address: 3023 ROUTE 430
    GREENHURST, NY
    ZIP 14742
  • Facility Phone: 716 483-5000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL D. MITCHELL
  • NPI Number: 1003812330
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0687618
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE GREEN NURSING HOME
Street 3023 ROUTE 430
City GREENHURST
State NY
ZIP 14742
Phone 716 483-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MICHAEL D. MITCHELL

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