33D1017897 CLIA NUMBER - ROCHESTER OPC

Laboratory Demographics

CLIA Number: 33D1017897

Facility Name: ROCHESTER OPC

Facility Address:
465 WESTFALL RD
ROCHESTER, NY
ZIP 14620
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Facility Phone Number: 585 463-2724

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1003970914

Taxonomy: 3104A0625X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

CLIA Record

Field Name	Field Value
CLIA Number	33D1017897
LAB Type	Community Clinic
Facility Name	ROCHESTER OPC
Street	465 WESTFALL RD
City	ROCHESTER
State	NY
ZIP	14620
Phone	585 463-2724
CertificateType	1
CertificateEffectiveDate	10/7/2003
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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