39D1086227 CLIA NUMBER - ALBRIGHT LIFE LYCOMING

Laboratory Demographics

CLIA Code: 39D1086227
Facility Name: ALBRIGHT LIFE LYCOMING
Facility Address: 901 MEMORIAL AVENUE
WILLIAMSPORT, PA
ZIP 17701
Facility Phone: 570 322-5433
Facility Type: Other
Facility Type: Waiver
Lab Director: DR. SAMUEL G. HALL
NPI Number: 1902932007
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	39D1086227
LAB Type	Other
Facility Name	ALBRIGHT LIFE LYCOMING
Street	901 MEMORIAL AVENUE
City	WILLIAMSPORT
State	PA
ZIP	17701
Phone	570 322-5433
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/8/2024
Certificate Expiration Date	7/7/2026
Facility Type	Other
Lab Director	DR. SAMUEL G. HALL

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