39D0899548 CLIA NUMBER - CHRIST THE KING MANOR

Laboratory Demographics

  • CLIA Code: 39D0899548
  • Facility Name: CHRIST THE KING MANOR
  • Facility Address: 1100 WEST LONG AVENUE
    DUBOIS, PA
    ZIP 15801
  • Facility Phone: 814 371-3180
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ERIC PECK
  • NPI Number: 1164878070
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 39D0899548
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHRIST THE KING MANOR
Street 1100 WEST LONG AVENUE
City DUBOIS
State PA
ZIP 15801
Phone 814 371-3180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ERIC PECK

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