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39D2094582 CLIA NUMBER - MOUNT NITTANY HEALTH SURGICAL CENTER

Laboratory Demographics

CLIA Number: 39D2094582

Facility Name: MOUNT NITTANY HEALTH SURGICAL CENTER

Facility Address:
1850 E PARK AVE SUITE 103
STATE COLLEGE, PA
ZIP 16803
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Facility Phone Number: 814 234-6750

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1346371507

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 39D2094582
LAB Type Ambulatory Surgery Center
Facility Name MOUNT NITTANY HEALTH SURGICAL CENTER
Street 1850 E PARK AVE SUITE 103
City STATE COLLEGE
State PA
ZIP 16803
Phone 814 234-6750
CertificateType 4
CertificateEffectiveDate 4/21/2023
CertificateExpirationDate 4/20/2025
FacilityType Waiver

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