39D2072147 CLIA NUMBER - COUNTRY MEADOWS OF WEST SHORE

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Laboratory Demographics

CLIA Number: 39D2072147

Facility Name: COUNTRY MEADOWS OF WEST SHORE

Facility Address:
4905 E TRINDLE ROAD
MECHANICSBURG, PA
ZIP 17050
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Facility Phone Number: 717 533-2474

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1841563137

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	39D2072147
LAB Type	Assisted Living Facility
Facility Name	COUNTRY MEADOWS OF WEST SHORE
Street	4905 E TRINDLE ROAD
City	MECHANICSBURG
State	PA
ZIP	17050
Phone	717 533-2474
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024