33D2146323 CLIA NUMBER - ELM YORK LLC

Laboratory Demographics

CLIA Number: 33D2146323

Facility Name: ELM YORK LLC

Facility Address:
100-30 DITMARD BLVD
EAST ELMHURST, NY
ZIP 11369
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Facility Phone Number: 718 446-7900

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1467659482

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	33D2146323
LAB Type	Assisted Living Facility
Facility Name	ELM YORK LLC
Street	100-30 DITMARD BLVD
City	EAST ELMHURST
State	NY
ZIP	11369
Phone	718 446-7900
CertificateType	4
CertificateEffectiveDate	3/27/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024