33D2229621 CLIA NUMBER - TIMOTHY HILL CHILDREN'S RANCH

Laboratory Demographics

  • CLIA Code: 33D2229621
  • Facility Name: TIMOTHY HILL CHILDREN'S RANCH
  • Facility Address: 298 MIDDLE RD
    RIVERHEAD, NY
    ZIP 11901
  • Facility Phone: 631 369-1234
  • Facility Type: Other - FOSTER CARE AGENCY
  • Facility Type: Waiver
  • Lab Director: MS. MICHELE A. KELLY
  • NPI Number: 1881876928
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 33D2229621
LAB Type Other - FOSTER CARE AGENCY
Facility Name TIMOTHY HILL CHILDREN'S RANCH
Street 298 MIDDLE RD
City RIVERHEAD
State NY
ZIP 11901
Phone 631 369-1234
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 - FOSTER CARE AGENCY
Lab Director MS. MICHELE A. KELLY

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