33D2128381 CLIA NUMBER - LIVING INDEPENDENTLY FOR THE ELDERLY DBA BETHEL SPRINGVALE INN, THE

Laboratory Demographics

  • CLIA Code: 33D2128381
  • Facility Name: LIVING INDEPENDENTLY FOR THE ELDERLY DBA BETHEL SPRINGVALE INN, THE
  • Facility Address: 62 SPRINGVALE ROAD
    CROTON ON HUDSON, NY
    ZIP 10520
  • Facility Phone: 914 739-4404
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. EUGENE J. RAJARATNAM
  • NPI Number: 1689917148
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2128381
LAB Type Assisted Living Facility
Facility Name LIVING INDEPENDENTLY FOR THE ELDERLY DBA BETHEL SPRINGVALE INN, THE
Street 62 SPRINGVALE ROAD
City CROTON ON HUDSON
State NY
ZIP 10520
Phone 914 739-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2017
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. EUGENE J. RAJARATNAM

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