39D1048650 CLIA NUMBER - SENIOR LIFE JOHNSTOWN

Laboratory Demographics

CLIA Code: 39D1048650
Facility Name: SENIOR LIFE JOHNSTOWN
Facility Address: 401 BROAD STREET
JOHNSTOWN, PA
ZIP 15906
Facility Phone: 814 535-6000
Facility Type: Other
Facility Type: Waiver
Lab Director: DR. SAMUEL WINT MD
NPI Number: 1265584833
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	39D1048650
LAB Type	Other
Facility Name	SENIOR LIFE JOHNSTOWN
Street	401 BROAD STREET
City	JOHNSTOWN
State	PA
ZIP	15906
Phone	814 535-6000
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/7/2023
Certificate Expiration Date	12/6/2025
Facility Type	Other
Lab Director	DR. SAMUEL WINT MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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