39D0657422 CLIA NUMBER - OAK GLEN HEALTHCARE & REHAB LLC

Laboratory Demographics

  • CLIA Code: 39D0657422
  • Facility Name: OAK GLEN HEALTHCARE & REHAB LLC
  • Facility Address: 15 RIDGECREST CIRCLE
    LEWISBURG, PA
    ZIP 17837
  • Facility Phone: 570 522-6220
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. VIKAS PASSI
  • NPI Number: 1053317446
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0657422
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK GLEN HEALTHCARE & REHAB LLC
Street 15 RIDGECREST CIRCLE
City LEWISBURG
State PA
ZIP 17837
Phone 570 522-6220
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. VIKAS PASSI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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