33D2208519 CLIA NUMBER - HERITAGE CHRISTIAN SERVICES INC

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Laboratory Demographics

CLIA Number: 33D2208519

Facility Name: HERITAGE CHRISTIAN SERVICES INC

Facility Address:
275 KENNETH DRIVE SUITE 100
ROCHESTER, NY
ZIP 14623
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Facility Phone Number: 585 340-2000

Facility Type: Other - IRA FOR DEV DISABLED

Certificate Type: Waiver

NPI Number: 1700077443

Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	33D2208519
LAB Type	Other - IRA FOR DEV DISABLED
Facility Name	HERITAGE CHRISTIAN SERVICES INC
Street	275 KENNETH DRIVE SUITE 100
City	ROCHESTER
State	NY
ZIP	14623
Phone	585 340-2000
CertificateType	4
CertificateEffectiveDate	1/7/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024