33D2321487 CLIA NUMBER - GLEN ARDEN INC

Laboratory Demographics

  • CLIA Code: 33D2321487
  • Facility Name: GLEN ARDEN INC
  • Facility Address: 214 HARRIMON DR
    GOSHEN, NY
    ZIP 10924
  • Facility Phone: 845 360-1400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ARAVINDA L. BOMMAREDDY
  • NPI Number: 1235294547
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2321487
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLEN ARDEN INC
Street 214 HARRIMON DR
City GOSHEN
State NY
ZIP 10924
Phone 845 360-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ARAVINDA L. BOMMAREDDY

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