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33D2038484 CLIA NUMBER - J&D ULTRACARE

Laboratory Demographics

CLIA Number: 33D2038484

Facility Name: J&D ULTRACARE

Facility Address:
15 SUFFERN PLACE - SUITE A
SUFFERN, NY
ZIP 10901
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Facility Phone Number: 845 357-4500

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1659442051

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 33D2038484
LAB Type Home Health Agency
Facility Name J&D ULTRACARE
Street 15 SUFFERN PLACE - SUITE A
City SUFFERN
State NY
ZIP 10901
Phone 845 357-4500
CertificateType 4
CertificateEffectiveDate 3/21/2012
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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