33D2154402 CLIA NUMBER - BV LAKE TAPPAN OPERATOR LLC

Laboratory Demographics

  • CLIA Code: 33D2154402
  • Facility Name: BV LAKE TAPPAN OPERATOR LLC
  • Facility Address: 31 HUNT ROAD
    ORANGEBURG, NY
    ZIP 10962
  • Facility Phone: 845 474-2050
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW W. LYONS
  • NPI Number: 1346730298
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2154402
LAB Type Assisted Living Facility
Facility Name BV LAKE TAPPAN OPERATOR LLC
Street 31 HUNT ROAD
City ORANGEBURG
State NY
ZIP 10962
Phone 845 474-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2018
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. ANDREW W. LYONS

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