39D0657380 CLIA NUMBER - FAIRMOUNT HOMES

Laboratory Demographics

  • CLIA Code: 39D0657380
  • Facility Name: FAIRMOUNT HOMES
  • Facility Address: 333 WHEAT RIDGE DRIVE
    EPHRATA, PA
    ZIP 17522
  • Facility Phone: 717 354-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM LORETAN
  • NPI Number: 1568463818
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0657380
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAIRMOUNT HOMES
Street 333 WHEAT RIDGE DRIVE
City EPHRATA
State PA
ZIP 17522
Phone 717 354-1800
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. WILLIAM LORETAN

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