33D2210713 CLIA NUMBER - EAST HOUSE CORPORATION - MONROE SQUARE

Laboratory Demographics

CLIA Code: 33D2210713
Facility Name: EAST HOUSE CORPORATION - MONROE SQUARE
Facility Address: 259 MONROE AVE, SUITE 200
ROCHESTER, NY
ZIP 14607
Facility Phone: 585 238-4800
Facility Type: Other - OASAS RES PROGRAM
Facility Type: Waiver
Lab Director: DR. GARY J. HORWITZ
NPI Number: 1417171562
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	33D2210713
LAB Type	Other - OASAS RES PROGRAM
Facility Name	EAST HOUSE CORPORATION - MONROE SQUARE
Street	259 MONROE AVE, SUITE 200
City	ROCHESTER
State	NY
ZIP	14607
Phone	585 238-4800
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/22/2021
Certificate Expiration Date	3/26/2027
Facility Type	Other - OASAS RES PROGRAM
Lab Director	DR. GARY J. HORWITZ

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