33D2229620 CLIA NUMBER - ELMCREST CHILDRENS CENTER

Laboratory Demographics

CLIA Code: 33D2229620
Facility Name: ELMCREST CHILDRENS CENTER
Facility Address: 960 SALT SPRINGS RD
SYRACUSE, NY
ZIP 13224
Facility Phone: 315 446-6250
Facility Type: Other - SPECIAL NEEDS HOUSING
Facility Type: Waiver
Lab Director: DR. GERALD EDWARDS
NPI Number: 1417080292
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	33D2229620
LAB Type	Other - SPECIAL NEEDS HOUSING
Facility Name	ELMCREST CHILDRENS CENTER
Street	960 SALT SPRINGS RD
City	SYRACUSE
State	NY
ZIP	13224
Phone	315 446-6250
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/14/2021
Certificate Expiration Date	3/26/2027
Facility Type	Other - SPECIAL NEEDS HOUSING
Lab Director	DR. GERALD EDWARDS

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