33D0880552 CLIA NUMBER - EDNA TINA WILSON LIVING CENTER

Laboratory Demographics

  • CLIA Code: 33D0880552
  • Facility Name: EDNA TINA WILSON LIVING CENTER
  • Facility Address: 700 ISLAND COTTAGE ROAD
    ROCHESTER, NY
    ZIP 14612
  • Facility Phone: 585 368-6105
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALBERT DEVLIN
  • NPI Number: 1811044522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0880552
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EDNA TINA WILSON LIVING CENTER
Street 700 ISLAND COTTAGE ROAD
City ROCHESTER
State NY
ZIP 14612
Phone 585 368-6105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2005
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ALBERT DEVLIN

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