39D1038520 CLIA NUMBER - COMMUNITY CARE INC DEPT OF HOME HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 39D1038520
  • Facility Name: COMMUNITY CARE INC DEPT OF HOME HEALTHCARE SERVICES
  • Facility Address: 201 EAST PENNSYLVANIA AVENUE
    NEW STANTON, PA
    ZIP 15672
  • Facility Phone: 724 830-9918
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KATELYN BAGLEY
  • NPI Number: 1073544805
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1038520
LAB Type Home Health Agency
Facility Name COMMUNITY CARE INC DEPT OF HOME HEALTHCARE SERVICES
Street 201 EAST PENNSYLVANIA AVENUE
City NEW STANTON
State PA
ZIP 15672
Phone 724 830-9918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Home Health Agency
Lab Director KATELYN BAGLEY

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