33D2106427 CLIA NUMBER - ELDERONE

Laboratory Demographics

  • CLIA Code: 33D2106427
  • Facility Name: ELDERONE
  • Facility Address: 2066 HUDSON AVENUE
    ROCHESTER, NY
    ZIP 14617
  • Facility Phone: 585 922-2800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN D. RYAN
  • NPI Number: 1275563066
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 33D2106427
LAB Type Home Health Agency
Facility Name ELDERONE
Street 2066 HUDSON AVENUE
City ROCHESTER
State NY
ZIP 14617
Phone 585 922-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2015
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. STEPHEN D. RYAN

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