39D0657246 CLIA NUMBER - BALL PAVILION

Laboratory Demographics

  • CLIA Code: 39D0657246
  • Facility Name: BALL PAVILION
  • Facility Address: 5416 E LAKE RD
    ERIE, PA
    ZIP 16511
  • Facility Phone: 814 899-8600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID C. LESSESKI
  • NPI Number: 1457679722
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 39D0657246
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BALL PAVILION
Street 5416 E LAKE RD
City ERIE
State PA
ZIP 16511
Phone 814 899-8600
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. DAVID C. LESSESKI

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