33D2116479 CLIA NUMBER - HILLSIDE MANOR CERTIFIED HOME CARE AGENCY

Laboratory Demographics

  • CLIA Code: 33D2116479
  • Facility Name: HILLSIDE MANOR CERTIFIED HOME CARE AGENCY
  • Facility Address: 3155 GRACE AVE
    BRONX, NY
    ZIP 10469
  • Facility Phone: (718) 304-2866
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. NODAR JANAS

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CLIA Record

Field Name Field Value
CLIA Number 33D2116479
LAB Type Home Health Agency
Facility Name HILLSIDE MANOR CERTIFIED HOME CARE AGENCY
Street 3155 GRACE AVE
City BRONX
State NY
ZIP 10469
Phone 7183042866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2016
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. NODAR JANAS

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This page was last updated on: 6/29/2026