39D2032860 CLIA NUMBER - ALBRIGHT LIFE LEBANON

Laboratory Demographics

CLIA Code: 39D2032860
Facility Name: ALBRIGHT LIFE LEBANON
Facility Address: 113 SOUTH NINTH ST
LEBANON, PA
ZIP 17042
Facility Phone: 717 376-1133
Facility Type: Other - PACE SITE LIFE PROGRAM
Facility Type: Waiver
Lab Director: DR. SAMUEL G. HALL
NPI Number: 1851647796
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	39D2032860
LAB Type	Other - PACE SITE LIFE PROGRAM
Facility Name	ALBRIGHT LIFE LEBANON
Street	113 SOUTH NINTH ST
City	LEBANON
State	PA
ZIP	17042
Phone	717 376-1133
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/17/2023
Certificate Expiration Date	11/16/2025
Facility Type	Other - PACE SITE LIFE PROGRAM
Lab Director	DR. SAMUEL G. HALL

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