33D1069438 CLIA NUMBER - CHILDREN'S VILLAGE,THE

Laboratory Demographics

CLIA Code: 33D1069438
Facility Name: CHILDREN'S VILLAGE,THE
Facility Address: ONE ECHO HILLS
DOBBS FERRY, NY
ZIP 10522
Facility Phone: 914 693-0600
Facility Type: Other - RESIDENTIAL TREATMENT FAC
Facility Type: Waiver
Lab Director: DR. TRACI F. GARDNER
NPI Number: 1376832931
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	33D1069438
LAB Type	Other - RESIDENTIAL TREATMENT FAC
Facility Name	CHILDREN'S VILLAGE,THE
Street	ONE ECHO HILLS
City	DOBBS FERRY
State	NY
ZIP	10522
Phone	914 693-0600
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/6/2007
Certificate Expiration Date	3/26/2027
Facility Type	Other - RESIDENTIAL TREATMENT FAC
Lab Director	DR. TRACI F. GARDNER

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