33D0914711 CLIA NUMBER - CONIFER PARK INC

Laboratory Demographics

CLIA Number: 33D0914711

Facility Name: CONIFER PARK INC

Facility Address:
79 GLENRIDGE ROAD
GLENVILLE, NY
ZIP 12302
Get Directions

Facility Phone Number: 518 399-6446

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1538180351

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	33D0914711
LAB Type	Other
Facility Name	CONIFER PARK INC
Street	79 GLENRIDGE ROAD
City	GLENVILLE
State	NY
ZIP	12302
Phone	518 399-6446
CertificateType	4
CertificateEffectiveDate	5/8/1996
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024