39D0885893 CLIA NUMBER - STONERIDGE POPLAR RUN

Laboratory Demographics

  • CLIA Code: 39D0885893
  • Facility Name: STONERIDGE POPLAR RUN
  • Facility Address: 450 EAST LINCOLN AVENUE
    MYERSTOWN, PA
    ZIP 17067
  • Facility Phone: 717 866-3510
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT J. PEARLSTEIN
  • NPI Number: 1467478941
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0885893
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STONERIDGE POPLAR RUN
Street 450 EAST LINCOLN AVENUE
City MYERSTOWN
State PA
ZIP 17067
Phone 717 866-3510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ROBERT J. PEARLSTEIN

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