39D0901195 CLIA NUMBER - CENTRE CARE LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0901195
  • Facility Name: CENTRE CARE LABORATORY
  • Facility Address: 250 PERSIA RD
    BELLEFONTE, PA
    ZIP 16823
  • Facility Phone: 814 278-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DENNIS A. SHANNON III
  • NPI Number: 1548602964
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0901195
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTRE CARE LABORATORY
Street 250 PERSIA RD
City BELLEFONTE
State PA
ZIP 16823
Phone 814 278-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DENNIS A. SHANNON III

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