33D2121961 CLIA NUMBER - LOUDONVILLE ASSISTED LIVING RESIDENCE

Laboratory Demographics

  • CLIA Code: 33D2121961
  • Facility Name: LOUDONVILLE ASSISTED LIVING RESIDENCE
  • Facility Address: 298 ALBANY SHAKER ROAD
    LOUDONVILLE, NY
    ZIP 12211
  • Facility Phone: 518 463-4398
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. DONNA M. HEFFERNAN
  • NPI Number: 1932524808
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2121961
LAB Type Assisted Living Facility
Facility Name LOUDONVILLE ASSISTED LIVING RESIDENCE
Street 298 ALBANY SHAKER ROAD
City LOUDONVILLE
State NY
ZIP 12211
Phone 518 463-4398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2016
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. DONNA M. HEFFERNAN

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