39D0698061 CLIA NUMBER - LOCK HAVEN REHAB & SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 39D0698061
  • Facility Name: LOCK HAVEN REHAB & SENIOR LIVING
  • Facility Address: 22 CREE DRIVE
    LOCK HAVEN, PA
    ZIP 17745
  • Facility Phone: 717 748-9377
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH T. CANDELORE
  • NPI Number: 1255337523
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0698061
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LOCK HAVEN REHAB & SENIOR LIVING
Street 22 CREE DRIVE
City LOCK HAVEN
State PA
ZIP 17745
Phone 717 748-9377
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. JOSEPH T. CANDELORE

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