39D0899881 CLIA NUMBER - DANVILLE STATE HOSPITAL

Laboratory Demographics

  • CLIA Code: 39D0899881
  • Facility Name: DANVILLE STATE HOSPITAL
  • Facility Address: 200 STATE HOSPITAL DRIVE
    DANVILLE, PA
    ZIP 17821
  • Facility Phone: 570 275-7011
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL C. BROGNA MD
  • NPI Number: 1629284393
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 39D0899881
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DANVILLE STATE HOSPITAL
Street 200 STATE HOSPITAL DRIVE
City DANVILLE
State PA
ZIP 17821
Phone 570 275-7011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL C. BROGNA MD

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