39D2047175 CLIA NUMBER - SIGNAL PA HOME HEALTH, LLC DBA PERSONAL HOME HEALTHCARE AND HOSPICE

Laboratory Demographics

  • CLIA Code: 39D2047175
  • Facility Name: SIGNAL PA HOME HEALTH, LLC DBA PERSONAL HOME HEALTHCARE AND HOSPICE
  • Facility Address: 1716 MAIN ST
    BLAKELY, PA
    ZIP 18447
  • Facility Phone: 570 342-3314
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JESSE KABANA
  • NPI Number: 1043783236
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D2047175
LAB Type Home Health Agency
Facility Name SIGNAL PA HOME HEALTH, LLC DBA PERSONAL HOME HEALTHCARE AND HOSPICE
Street 1716 MAIN ST
City BLAKELY
State PA
ZIP 18447
Phone 570 342-3314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Home Health Agency
Lab Director JESSE KABANA

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