33D2176079 CLIA NUMBER - MEMORY GARDEN

Laboratory Demographics

  • CLIA Code: 33D2176079
  • Facility Name: MEMORY GARDEN
  • Facility Address: 564 FAIRMOUNT AVE
    JAMESTOWN, NY
    ZIP 14701
  • Facility Phone: 716 488-9434
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. UMAMAHESWARA R. VEJENDLA
  • NPI Number: 1568891810
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 33D2176079
LAB Type Assisted Living Facility
Facility Name MEMORY GARDEN
Street 564 FAIRMOUNT AVE
City JAMESTOWN
State NY
ZIP 14701
Phone 716 488-9434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2019
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. UMAMAHESWARA R. VEJENDLA

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