33D2125242 CLIA NUMBER - THE PAVILION AT PINE VALLEY

Laboratory Demographics

  • CLIA Code: 33D2125242
  • Facility Name: THE PAVILION AT PINE VALLEY
  • Facility Address: 661 N MAIN STREET
    SPRING VALLEY, NY
    ZIP 10977
  • Facility Phone: 845 356-8100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES SILBERBERG
  • NPI Number: 1396173142
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2125242
LAB Type Assisted Living Facility
Facility Name THE PAVILION AT PINE VALLEY
Street 661 N MAIN STREET
City SPRING VALLEY
State NY
ZIP 10977
Phone 845 356-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2017
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. CHARLES SILBERBERG

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