33D0929077 CLIA NUMBER - TACONIC REHABILITATION & NURSING AT ULSTER

Laboratory Demographics

  • CLIA Code: 33D0929077
  • Facility Name: TACONIC REHABILITATION & NURSING AT ULSTER
  • Facility Address: ONE WINGATE WAY
    HIGHLAND, NY
    ZIP 12528
  • Facility Phone: 845 691-6880
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHILDBERT ST LOUIS
  • NPI Number: 1528792439
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0929077
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TACONIC REHABILITATION & NURSING AT ULSTER
Street ONE WINGATE WAY
City HIGHLAND
State NY
ZIP 12528
Phone 845 691-6880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/1997
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. CHILDBERT ST LOUIS

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