33D0885711 CLIA NUMBER - PINE VALLEY CENTER FOR REHABILITATION & NURSING

Laboratory Demographics

  • CLIA Code: 33D0885711
  • Facility Name: PINE VALLEY CENTER FOR REHABILITATION & NURSING
  • Facility Address: 661 N MAIN STREET
    SPRING VALLEY, NY
    ZIP 10977
  • Facility Phone: 845 426-5600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. BARBARA K. AUGUSTIN
  • NPI Number: 1184611758
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0885711
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE VALLEY CENTER FOR REHABILITATION & NURSING
Street 661 N MAIN STREET
City SPRING VALLEY
State NY
ZIP 10977
Phone 845 426-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/1994
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. BARBARA K. AUGUSTIN

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