33D2090355 CLIA NUMBER - VDRNC LLC VAN DUYN CENTER FOR REHAB AND NURSING

Laboratory Demographics

  • CLIA Code: 33D2090355
  • Facility Name: VDRNC LLC VAN DUYN CENTER FOR REHAB AND NURSING
  • Facility Address: 5075 W SENECA TPK
    SYRACUSE, NY
    ZIP 13215
  • Facility Phone: 315 449-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER P. BLACK
  • NPI Number: 1851728752
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2090355
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VDRNC LLC VAN DUYN CENTER FOR REHAB AND NURSING
Street 5075 W SENECA TPK
City SYRACUSE
State NY
ZIP 13215
Phone 315 449-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2015
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. CHRISTOPHER P. BLACK

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