39D0188152 CLIA NUMBER - MORAVIAN MANOR LAB

Laboratory Demographics

  • CLIA Code: 39D0188152
  • Facility Name: MORAVIAN MANOR LAB
  • Facility Address: 300 W LEMON STREET
    LITITZ, PA
    ZIP 17543
  • Facility Phone: 717 626-0214
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. LEON S. KRAYBILL
  • NPI Number: 1831184506
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0188152
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MORAVIAN MANOR LAB
Street 300 W LEMON STREET
City LITITZ
State PA
ZIP 17543
Phone 717 626-0214
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. LEON S. KRAYBILL

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