33D0690560 CLIA NUMBER - GRANVILLE CENTER FOR REHAB AND NURSING

Laboratory Demographics

  • CLIA Code: 33D0690560
  • Facility Name: GRANVILLE CENTER FOR REHAB AND NURSING
  • Facility Address: 17 MADISON STREET
    GRANVILLE, NY
    ZIP 12832
  • Facility Phone: 518 642-2710
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MIKRAM JAFAI
  • NPI Number: 1700322542
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0690560
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRANVILLE CENTER FOR REHAB AND NURSING
Street 17 MADISON STREET
City GRANVILLE
State NY
ZIP 12832
Phone 518 642-2710
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 JAFAI

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