39D1099928 CLIA NUMBER - ANDVENTURE, LLC DBA AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 39D1099928
  • Facility Name: ANDVENTURE, LLC DBA AVEANNA HEALTHCARE
  • Facility Address: 1631 S ATHERTON STREET, SUITE 201
    STATE COLLEGE, PA
    ZIP 16801
  • Facility Phone: 201 403-9312
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KELSEY GULISH
  • NPI Number: 1760621122
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1099928
LAB Type Home Health Agency
Facility Name ANDVENTURE, LLC DBA AVEANNA HEALTHCARE
Street 1631 S ATHERTON STREET, SUITE 201
City STATE COLLEGE
State PA
ZIP 16801
Phone 201 403-9312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Home Health Agency
Lab Director KELSEY GULISH

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