33D2268303 CLIA NUMBER - MEADOWBROOK TERRACE

Laboratory Demographics

  • CLIA Code: 33D2268303
  • Facility Name: MEADOWBROOK TERRACE
  • Facility Address: 21957 COLE RD
    CARTHAGE, NY
    ZIP 13619
  • Facility Phone: (315) 519-5286
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL E. GORDON
  • NPI Number: 1598197279
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2268303
LAB Type Assisted Living Facility
Facility Name MEADOWBROOK TERRACE
Street 21957 COLE RD
City CARTHAGE
State NY
ZIP 13619
Phone 3155195286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2022
Certificate Expiration Date 3/26/2027
Facility Type Assisted Living Facility
Lab Director DR. MICHAEL E. GORDON

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