39D0910834 CLIA NUMBER - PENNSYLVANIA SOLDIERS & SAILORS HOME

Laboratory Demographics

  • CLIA Code: 39D0910834
  • Facility Name: PENNSYLVANIA SOLDIERS & SAILORS HOME
  • Facility Address: 560 EAST THIRD STREET
    ERIE, PA
    ZIP 16507
  • Facility Phone: 814 871-4531
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERIC MILIE DO
  • NPI Number: 1295712065
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D0910834
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PENNSYLVANIA SOLDIERS & SAILORS HOME
Street 560 EAST THIRD STREET
City ERIE
State PA
ZIP 16507
Phone 814 871-4531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ERIC MILIE DO

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This page was last updated on: 6/4/2025