39D0889047 CLIA NUMBER - BLUE MOUNTAIN NURSING & REHABILITATION CTR

Laboratory Demographics

  • CLIA Code: 39D0889047
  • Facility Name: BLUE MOUNTAIN NURSING & REHABILITATION CTR
  • Facility Address: 211 NORTH 12TH STREET
    LEHIGHTON, PA
    ZIP 18235
  • Facility Phone: 610 377-7154
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD J. ROSENFELD
  • NPI Number: 1164514253
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 39D0889047
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLUE MOUNTAIN NURSING & REHABILITATION CTR
Street 211 NORTH 12TH STREET
City LEHIGHTON
State PA
ZIP 18235
Phone 610 377-7154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. EDWARD J. ROSENFELD

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