39D0901674 CLIA NUMBER - WILLIAM PENN CARE CENTER

Laboratory Demographics

  • CLIA Code: 39D0901674
  • Facility Name: WILLIAM PENN CARE CENTER
  • Facility Address: 2020 ADER ROAD
    JEANNETTE, PA
    ZIP 15644
  • Facility Phone: 412 327-3500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KEN GIBSON MD
  • NPI Number: 1235168519
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0901674
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLIAM PENN CARE CENTER
Street 2020 ADER ROAD
City JEANNETTE
State PA
ZIP 15644
Phone 412 327-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KEN GIBSON MD

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