33D2161434 CLIA NUMBER - KINGSWAY MANOR ASSISTANT LIVING

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  • CLIA Code: 33D2161434
  • Facility Name: KINGSWAY MANOR ASSISTANT LIVING
  • Facility Address: 357 KINGS ROAD
    SCHENECTADY, NY
    ZIP 12304
  • Facility Phone: 518 393-4304
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. LAURIS J. PETERSEN
  • NPI Number: 1902068877
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2161434
LAB Type Assisted Living Facility
Facility Name KINGSWAY MANOR ASSISTANT LIVING
Street 357 KINGS ROAD
City SCHENECTADY
State NY
ZIP 12304
Phone 518 393-4304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2019
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. LAURIS J. PETERSEN

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