39D2090861 CLIA NUMBER - LIFE ARMSTRONG COUNTY

Laboratory Demographics

CLIA Code: 39D2090861
Facility Name: LIFE ARMSTRONG COUNTY
Facility Address: 115 NOLTE DRIVE EXTENSION
KITTANNING, PA
ZIP 16201
Facility Phone: 724 545-8007
Facility Type: Other - ADULT DAY HEALTH CENTER
Facility Type: Waiver
Lab Director: DR. PAUL C. KONITZKY
NPI Number: 1659776193
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	39D2090861
LAB Type	Other - ADULT DAY HEALTH CENTER
Facility Name	LIFE ARMSTRONG COUNTY
Street	115 NOLTE DRIVE EXTENSION
City	KITTANNING
State	PA
ZIP	16201
Phone	724 545-8007
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/2/2025
Certificate Expiration Date	2/1/2027
Facility Type	Other - ADULT DAY HEALTH CENTER
Lab Director	DR. PAUL C. KONITZKY

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