33D2197421 CLIA NUMBER - BAYBERRY NURSING HOME

Laboratory Demographics

  • CLIA Code: 33D2197421
  • Facility Name: BAYBERRY NURSING HOME
  • Facility Address: 40 KEOGH LANE
    NEW ROCHELLE, NY
    ZIP 10805
  • Facility Phone: (914) 636-6200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ROY J. GOLDBERG
  • NPI Number: 1750387916
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2197421
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAYBERRY NURSING HOME
Street 40 KEOGH LANE
City NEW ROCHELLE
State NY
ZIP 10805
Phone 9146366200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2020
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ROY J. GOLDBERG

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This page was last updated on: 5/18/2026