33D0709394 CLIA NUMBER - WELLSVILLE MANOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 33D0709394
  • Facility Name: WELLSVILLE MANOR CARE CENTER
  • Facility Address: 4192A BOLIVAR ROAD
    WELLSVILLE, NY
    ZIP 14895
  • Facility Phone: 585 593-4400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID S. DIRELLO
  • NPI Number: 1225019029
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0709394
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WELLSVILLE MANOR CARE CENTER
Street 4192A BOLIVAR ROAD
City WELLSVILLE
State NY
ZIP 14895
Phone 585 593-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2001
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DAVID S. DIRELLO

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