39D0722884 CLIA NUMBER - KUTZTOWN MANOR INC

Laboratory Demographics

  • CLIA Code: 39D0722884
  • Facility Name: KUTZTOWN MANOR INC
  • Facility Address: 120 TREXLER AVENUE
    KUTZTOWN, PA
    ZIP 19530
  • Facility Phone: 610 683-6220
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. RONALD R. JULIA JR
  • NPI Number: 1881691145
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0722884
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KUTZTOWN MANOR INC
Street 120 TREXLER AVENUE
City KUTZTOWN
State PA
ZIP 19530
Phone 610 683-6220
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. RONALD R. JULIA JR

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