39D1086058 CLIA NUMBER - 365 HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 39D1086058
  • Facility Name: 365 HOSPICE, LLC
  • Facility Address: 4290 OLD WILLIAN PENN HWY
    MONROEVILLE, PA
    ZIP 15146
  • Facility Phone: 412 372-5320
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHN REZK
  • NPI Number: 1457716839
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1086058
LAB Type Hospice
Facility Name 365 HOSPICE, LLC
Street 4290 OLD WILLIAN PENN HWY
City MONROEVILLE
State PA
ZIP 15146
Phone 412 372-5320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Hospice
Lab Director JOHN REZK

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