39D0683402 CLIA NUMBER - LEBANON SKILLED NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 39D0683402
  • Facility Name: LEBANON SKILLED NURSING AND REHABILITATION
  • Facility Address: 900 TUCK STREET
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 273-8595
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANA P. GOMES
  • NPI Number: 1376253088
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0683402
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEBANON SKILLED NURSING AND REHABILITATION
Street 900 TUCK STREET
City LEBANON
State PA
ZIP 17042
Phone 717 273-8595
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. ANA P. GOMES

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