39D0906308 CLIA NUMBER - GROVE MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 39D0906308
  • Facility Name: GROVE MANOR NURSING HOME
  • Facility Address: 435 NORTH BROAD STREET
    GROVE CITY, PA
    ZIP 16127
  • Facility Phone: 412 458-7800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD SMITH
  • NPI Number: 1265504369
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0906308
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GROVE MANOR NURSING HOME
Street 435 NORTH BROAD STREET
City GROVE CITY
State PA
ZIP 16127
Phone 412 458-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. EDWARD SMITH

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