33D2131141 CLIA NUMBER - LORETTO ADULT COMMUNITIES

Laboratory Demographics

  • CLIA Code: 33D2131141
  • Facility Name: LORETTO ADULT COMMUNITIES
  • Facility Address: 417 CHURCHILL AVENUE
    SYRACUSE, NY
    ZIP 13205
  • Facility Phone: 315 413-3404
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID G. HEISIG
  • NPI Number: 1275790818
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2131141
LAB Type Assisted Living Facility
Facility Name LORETTO ADULT COMMUNITIES
Street 417 CHURCHILL AVENUE
City SYRACUSE
State NY
ZIP 13205
Phone 315 413-3404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2017
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. DAVID G. HEISIG

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