39D1068654 CLIA NUMBER - SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE

Laboratory Demographics

  • CLIA Code: 39D1068654
  • Facility Name: SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE
  • Facility Address: 2100 UTZ TERRACE
    HANOVER, PA
    ZIP 17331
  • Facility Phone: 717 637-0633
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOANNE CHAN
  • NPI Number: 1417015223
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D1068654
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE
Street 2100 UTZ TERRACE
City HANOVER
State PA
ZIP 17331
Phone 717 637-0633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JOANNE CHAN

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