39D1020791 CLIA NUMBER - HOSPICE PREFERRED CHOICE INC DBA/ASERACARE HOSPICE

Laboratory Demographics

  • CLIA Code: 39D1020791
  • Facility Name: HOSPICE PREFERRED CHOICE INC DBA/ASERACARE HOSPICE
  • Facility Address: 1015 LOGAN BLVD
    ALTOONA, PA
    ZIP 16602
  • Facility Phone: 814 914-2900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. JACQULIN A. FABINA
  • NPI Number: 1912941642
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D1020791
LAB Type Hospice
Facility Name HOSPICE PREFERRED CHOICE INC DBA/ASERACARE HOSPICE
Street 1015 LOGAN BLVD
City ALTOONA
State PA
ZIP 16602
Phone 814 914-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Hospice
Lab Director DR. JACQULIN A. FABINA

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