39D0894168 CLIA NUMBER - BEACON RIDGE

Laboratory Demographics

  • CLIA Code: 39D0894168
  • Facility Name: BEACON RIDGE
  • Facility Address: 1515 WAYNE AVENUE
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 412 349-5300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMIL AHMED
  • NPI Number: 1235131418
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0894168
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEACON RIDGE
Street 1515 WAYNE AVENUE
City INDIANA
State PA
ZIP 15701
Phone 412 349-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMIL AHMED

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