33D2213690 CLIA NUMBER - MANLIUS CLARE BRIDGE OPERATOR DBA BROOKDALE FAYETTEVILLE

Laboratory Demographics

  • CLIA Code: 33D2213690
  • Facility Name: MANLIUS CLARE BRIDGE OPERATOR DBA BROOKDALE FAYETTEVILLE
  • Facility Address: 5125 HIGHBRIDGE ST
    FAYETTEVILLE, NY
    ZIP 13066
  • Facility Phone: (315) 637-2000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. JONATHAN D. COLINO
  • NPI Number: 1720778111
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2213690
LAB Type Assisted Living Facility
Facility Name MANLIUS CLARE BRIDGE OPERATOR DBA BROOKDALE FAYETTEVILLE
Street 5125 HIGHBRIDGE ST
City FAYETTEVILLE
State NY
ZIP 13066
Phone 3156372000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2021
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director MR. JONATHAN D. COLINO

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