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33D0992382 CLIA NUMBER - MAXIM OF NEW YORK LLC

Laboratory Demographics

CLIA Number: 33D0992382

Facility Name: MAXIM OF NEW YORK LLC

Facility Address:
150 STATE ST - SUITE 300
ROCHESTER, NY
ZIP 14614
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Facility Phone Number: 585 454-3550

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1326466715

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 33D0992382
LAB Type Home Health Agency
Facility Name MAXIM OF NEW YORK LLC
Street 150 STATE ST - SUITE 300
City ROCHESTER
State NY
ZIP 14614
Phone 585 454-3550
CertificateType 4
CertificateEffectiveDate 10/16/2001
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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