33D2211177 CLIA NUMBER - PROMENADE AT UNIVERSITY PLACE

Laboratory Demographics

  • CLIA Code: 33D2211177
  • Facility Name: PROMENADE AT UNIVERSITY PLACE
  • Facility Address: 1228 WESTERN AVE
    ALBANY, NY
    ZIP 12203
  • Facility Phone: 518 514-9500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICKEY P. SHARMA
  • NPI Number: 1932991189
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2211177
LAB Type Assisted Living Facility
Facility Name PROMENADE AT UNIVERSITY PLACE
Street 1228 WESTERN AVE
City ALBANY
State NY
ZIP 12203
Phone 518 514-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2021
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. MICKEY P. SHARMA

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