39D0672647 CLIA NUMBER - KINZUA NURSING & REHAB

Laboratory Demographics

  • CLIA Code: 39D0672647
  • Facility Name: KINZUA NURSING & REHAB
  • Facility Address: 205 WATER STREET
    WARREN, PA
    ZIP 16365
  • Facility Phone: (814) 726-0820
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1275393613
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0672647
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KINZUA NURSING & REHAB
Street 205 WATER STREET
City WARREN
State PA
ZIP 16365
Phone 8147260820
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. BRANDON M. ROSCOE

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