39D0657418 CLIA NUMBER - HOSPICE OF EVANGELICAL

Laboratory Demographics

  • CLIA Code: 39D0657418
  • Facility Name: HOSPICE OF EVANGELICAL
  • Facility Address: 235 HOSPITAL DRIVE
    LEWISBURG, PA
    ZIP 17837
  • Facility Phone: 570 522-2550
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATHY J. PAUL
  • NPI Number: 1720046519
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D0657418
LAB Type Hospice
Facility Name HOSPICE OF EVANGELICAL
Street 235 HOSPITAL DRIVE
City LEWISBURG
State PA
ZIP 17837
Phone 570 522-2550
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 Hospice
Lab Director KATHY J. PAUL

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