39D0175523 CLIA NUMBER - HAVENCREST HEALTHCARE & REHAB CTR

Laboratory Demographics

  • CLIA Code: 39D0175523
  • Facility Name: HAVENCREST HEALTHCARE & REHAB CTR
  • Facility Address: 1277 COUNTRY CLUB ROAD
    MONONGAHELA, PA
    ZIP 15063
  • Facility Phone: 724 258-3000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. UMBERTO A. DERIENZO
  • NPI Number: 1609370741
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0175523
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAVENCREST HEALTHCARE & REHAB CTR
Street 1277 COUNTRY CLUB ROAD
City MONONGAHELA
State PA
ZIP 15063
Phone 724 258-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. UMBERTO A. DERIENZO

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