33D2161460 CLIA NUMBER - CAMILLUS RIDGE TERRACE

Laboratory Demographics

  • CLIA Code: 33D2161460
  • Facility Name: CAMILLUS RIDGE TERRACE
  • Facility Address: 2453 W GENESEE TURNPIKE
    CAMILLUS, NY
    ZIP 13031
  • Facility Phone: 315 672-3790
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. JONATHAN D. COLINO
  • NPI Number: 1336629179
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 33D2161460
LAB Type Assisted Living Facility
Facility Name CAMILLUS RIDGE TERRACE
Street 2453 W GENESEE TURNPIKE
City CAMILLUS
State NY
ZIP 13031
Phone 315 672-3790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2019
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director MR. JONATHAN D. COLINO

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