33D0933972 CLIA NUMBER - KENDAL AT ITHACA

Laboratory Demographics

  • CLIA Code: 33D0933972
  • Facility Name: KENDAL AT ITHACA
  • Facility Address: 2230 N TRIPHAMMER RD
    ITHACA, NY
    ZIP 14850
  • Facility Phone: (607) 266-5310
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JACOB SKEZAS
  • NPI Number: 1134347230
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0933972
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KENDAL AT ITHACA
Street 2230 N TRIPHAMMER RD
City ITHACA
State NY
ZIP 14850
Phone 6072665310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/1997
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JACOB SKEZAS

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This page was last updated on: 5/18/2026