33D2123432 CLIA NUMBER - ELDERWOOD ASSISTED LIVING AT CHEEKTOWAGA

Laboratory Demographics

  • CLIA Code: 33D2123432
  • Facility Name: ELDERWOOD ASSISTED LIVING AT CHEEKTOWAGA
  • Facility Address: 229 BENNETT ROAD
    CHEEKTOWAGA, NY
    ZIP 14227
  • Facility Phone: 716 681-8631
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. RYAN J. MIKAC
  • NPI Number: 1801169503
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2123432
LAB Type Assisted Living Facility
Facility Name ELDERWOOD ASSISTED LIVING AT CHEEKTOWAGA
Street 229 BENNETT ROAD
City CHEEKTOWAGA
State NY
ZIP 14227
Phone 716 681-8631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2016
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. RYAN J. MIKAC

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This page was last updated on: 6/4/2025