33D2005017 CLIA NUMBER - PUTNAM RIDGE

Laboratory Demographics

  • CLIA Code: 33D2005017
  • Facility Name: PUTNAM RIDGE
  • Facility Address: 46 MOUNT EBO RD NORTH
    BREWSTER, NY
    ZIP 10509
  • Facility Phone: 845 278-3636
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE GORICH
  • NPI Number: 1134459712
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2005017
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PUTNAM RIDGE
Street 46 MOUNT EBO RD NORTH
City BREWSTER
State NY
ZIP 10509
Phone 845 278-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2010
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. GEORGE GORICH

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