33D2211189 CLIA NUMBER - PROMENADE AT MIDDLETOWN

Laboratory Demographics

  • CLIA Code: 33D2211189
  • Facility Name: PROMENADE AT MIDDLETOWN
  • Facility Address: 70 FULTON ST
    MIDDLETOWN, NY
    ZIP 10940
  • Facility Phone: 845 341-1888
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICKEY P. SHARMA
  • NPI Number: 1023354594
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2211189
LAB Type Assisted Living Facility
Facility Name PROMENADE AT MIDDLETOWN
Street 70 FULTON ST
City MIDDLETOWN
State NY
ZIP 10940
Phone 845 341-1888
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