39D0893498 CLIA NUMBER - MCGUIRE MEMORIAL HOME

Laboratory Demographics

CLIA Code: 39D0893498
Facility Name: MCGUIRE MEMORIAL HOME
Facility Address: 2119 MERCER RD
NEW BRIGHTON, PA
ZIP 15066
Facility Phone: 724 843-3400
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: DR. ALECIA R. HUTSLER
NPI Number: 1073652954
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	39D0893498
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MCGUIRE MEMORIAL HOME
Street	2119 MERCER RD
City	NEW BRIGHTON
State	PA
ZIP	15066
Phone	724 843-3400
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/24/2024
Certificate Expiration Date	10/23/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	DR. ALECIA R. HUTSLER

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