33D2122283 CLIA NUMBER - CCRNC LLC DBA CROWN PARK REHABILITATION AND

Laboratory Demographics

  • CLIA Code: 33D2122283
  • Facility Name: CCRNC LLC DBA CROWN PARK REHABILITATION AND
  • Facility Address: 28 KELLOGG ROAD
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 753-6060
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. POLLY A. CATOR
  • NPI Number: 1932559820
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2122283
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CCRNC LLC DBA CROWN PARK REHABILITATION AND
Street 28 KELLOGG ROAD
City CORTLAND
State NY
ZIP 13045
Phone 607 753-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2016
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. POLLY A. CATOR

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