33D0890057 CLIA NUMBER - HERITAGE PARK REHAB AND SKILLED NURSING

Laboratory Demographics

  • CLIA Code: 33D0890057
  • Facility Name: HERITAGE PARK REHAB AND SKILLED NURSING
  • Facility Address: 150 PRATHER AVENUE
    JAMESTOWN, NY
    ZIP 14701
  • Facility Phone: 716 488-1921
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALBERT J. PERSIA
  • NPI Number: 1366448706
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0890057
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE PARK REHAB AND SKILLED NURSING
Street 150 PRATHER AVENUE
City JAMESTOWN
State NY
ZIP 14701
Phone 716 488-1921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/1994
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ALBERT J. PERSIA

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