39D0657281 CLIA NUMBER - BROAD ACRES HEALTH & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 39D0657281
  • Facility Name: BROAD ACRES HEALTH & REHAB CENTER
  • Facility Address: 1883 SHUMWAY HILL ROAD
    WELLSBORO, PA
    ZIP 16901
  • Facility Phone: (570) 724-3913
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. LARA JAUSSI
  • NPI Number: 1528139078
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0657281
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROAD ACRES HEALTH & REHAB CENTER
Street 1883 SHUMWAY HILL ROAD
City WELLSBORO
State PA
ZIP 16901
Phone 5707243913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. LARA JAUSSI

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This page was last updated on: 6/29/2026