39D2051582 CLIA NUMBER - MOOREHEAD PLACE

Laboratory Demographics

  • CLIA Code: 39D2051582
  • Facility Name: MOOREHEAD PLACE
  • Facility Address: 116 MADISON CIRCLE
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 724 465-9606
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALISHA LACKEY
  • NPI Number: 1891982187
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2051582
LAB Type Assisted Living Facility
Facility Name MOOREHEAD PLACE
Street 116 MADISON CIRCLE
City INDIANA
State PA
ZIP 15701
Phone 724 465-9606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Assisted Living Facility
Lab Director ALISHA LACKEY

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