33D2312800 CLIA NUMBER - SPRING VALLEY WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 33D2312800
  • Facility Name: SPRING VALLEY WELLNESS, LLC
  • Facility Address: 175 ROUTE 59 SUITE 170
    SPRING VALLEY, NY
    ZIP 10977
  • Facility Phone: 845 912-4784
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PAOLA A. ESCOBAR
  • NPI Number: 1235144866
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2312800
LAB Type Practitioner Other
Facility Name SPRING VALLEY WELLNESS, LLC
Street 175 ROUTE 59 SUITE 170
City SPRING VALLEY
State NY
ZIP 10977
Phone 845 912-4784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Practitioner Other
Lab Director PAOLA A. ESCOBAR

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