33D2095083 CLIA NUMBER - NORTHERN MANOR MULTICARE CENTER

Laboratory Demographics

  • CLIA Code: 33D2095083
  • Facility Name: NORTHERN MANOR MULTICARE CENTER
  • Facility Address: 199 N MIDDLETOWN ROAD
    NANUET, NY
    ZIP 10954
  • Facility Phone: 845 623-3904
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. VIKRAM P. SHAH
  • NPI Number: 1457332892
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2095083
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHERN MANOR MULTICARE CENTER
Street 199 N MIDDLETOWN ROAD
City NANUET
State NY
ZIP 10954
Phone 845 623-3904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2015
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. VIKRAM P. SHAH

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