33D0718042 CLIA NUMBER - SANS SOUCI NURSING HOME LLC

Laboratory Demographics

  • CLIA Code: 33D0718042
  • Facility Name: SANS SOUCI NURSING HOME LLC
  • Facility Address: 115 PARK AVE
    YONKERS, NY
    ZIP 10703
  • Facility Phone: 914 423-9800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. AMMIR S. RABADI
  • NPI Number: 1336377324
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0718042
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SANS SOUCI NURSING HOME LLC
Street 115 PARK AVE
City YONKERS
State NY
ZIP 10703
Phone 914 423-9800
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. AMMIR S. RABADI

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