39D0893352 CLIA NUMBER - ARBUTUS PARK MANOR

Laboratory Demographics

  • CLIA Code: 39D0893352
  • Facility Name: ARBUTUS PARK MANOR
  • Facility Address: 207 OTTAWA STREET
    JOHNSTOWN, PA
    ZIP 15904
  • Facility Phone: 814 534-0921
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MANJUNATH S. HEGGERE MD
  • NPI Number: 1497824064
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0893352
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARBUTUS PARK MANOR
Street 207 OTTAWA STREET
City JOHNSTOWN
State PA
ZIP 15904
Phone 814 534-0921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MANJUNATH S. HEGGERE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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