39D0711030 CLIA NUMBER - GUY AND MARY FELT MANOR INC

Laboratory Demographics

  • CLIA Code: 39D0711030
  • Facility Name: GUY AND MARY FELT MANOR INC
  • Facility Address: 110 EAST FOURTH STREET
    EMPORIUM, PA
    ZIP 15834
  • Facility Phone: 814 486-3736
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1740287499
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0711030
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GUY AND MARY FELT MANOR INC
Street 110 EAST FOURTH STREET
City EMPORIUM
State PA
ZIP 15834
Phone 814 486-3736
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: 9/29/2025