33D2170933 CLIA NUMBER - THE ELIOT AT TROY

Laboratory Demographics

  • CLIA Code: 33D2170933
  • Facility Name: THE ELIOT AT TROY
  • Facility Address: 2902 TIBBITTS AVE
    TROY, NY
    ZIP 12180
  • Facility Phone: 518 273-2040
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. CHILDEBERT ST LOUIS
  • NPI Number: 1598325771
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2170933
LAB Type Home Health Agency
Facility Name THE ELIOT AT TROY
Street 2902 TIBBITTS AVE
City TROY
State NY
ZIP 12180
Phone 518 273-2040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2019
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. CHILDEBERT ST LOUIS

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