33D2147965 CLIA NUMBER - VANDERHEYDEN HEALTH SERVICES

Laboratory Demographics

CLIA Code: 33D2147965
Facility Name: VANDERHEYDEN HEALTH SERVICES
Facility Address: 614 COOPER HILL RD
WYNANTSKILL, NY
ZIP 12198
Facility Phone: 518 283-6500
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: DR. CAROL L. GREENBLATT
NPI Number: 1659565059
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	33D2147965
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	VANDERHEYDEN HEALTH SERVICES
Street	614 COOPER HILL RD
City	WYNANTSKILL
State	NY
ZIP	12198
Phone	518 283-6500
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/1/2018
Certificate Expiration Date	3/26/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	DR. CAROL L. GREENBLATT

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