39D0185693 CLIA NUMBER - CORNWALL MANOR

Laboratory Demographics

  • CLIA Code: 39D0185693
  • Facility Name: CORNWALL MANOR
  • Facility Address: 1 BOYD ST, PO BOX 125
    CORNWALL, PA
    ZIP 17016
  • Facility Phone: 717 273-2647
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANNE B. HAYES
  • NPI Number: 1508857897
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0185693
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CORNWALL MANOR
Street 1 BOYD ST, PO BOX 125
City CORNWALL
State PA
ZIP 17016
Phone 717 273-2647
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. ANNE B. HAYES

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This page was last updated on: 6/4/2025