33D2046263 CLIA NUMBER - THE ELIOT AT ERIE STATION LHCSA

Laboratory Demographics

  • CLIA Code: 33D2046263
  • Facility Name: THE ELIOT AT ERIE STATION LHCSA
  • Facility Address: 12 JOHN STREET
    MIDDLETOWN, NY
    ZIP 10940
  • Facility Phone: 845 342-2077
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. CHILDEBERT ST LOUIS
  • NPI Number: 1194069484
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2046263
LAB Type Home Health Agency
Facility Name THE ELIOT AT ERIE STATION LHCSA
Street 12 JOHN STREET
City MIDDLETOWN
State NY
ZIP 10940
Phone 845 342-2077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2012
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. CHILDEBERT ST LOUIS

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