39D1070518 CLIA NUMBER - 365 HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 39D1070518
  • Facility Name: 365 HOSPICE, LLC
  • Facility Address: 220 REGENT COURT SUITE 2E
    STATE COLLEGE, PA
    ZIP 16801
  • Facility Phone: 814 946-5017
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JONATHAN REZK
  • NPI Number: 1376750398
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D1070518
LAB Type Hospice
Facility Name 365 HOSPICE, LLC
Street 220 REGENT COURT SUITE 2E
City STATE COLLEGE
State PA
ZIP 16801
Phone 814 946-5017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Hospice
Lab Director JONATHAN REZK

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