39D2116061 CLIA NUMBER - SUMMIT BHC LLC DBA MOUNTAIN LAUREL RECOVERY CTR

Laboratory Demographics

  • CLIA Code: 39D2116061
  • Facility Name: SUMMIT BHC LLC DBA MOUNTAIN LAUREL RECOVERY CTR
  • Facility Address: 355 CHURCH STREET
    WESTFIELD, PA
    ZIP 16950
  • Facility Phone: 814 367-5003
  • Facility Type: Other - RES SUBSTANCE ABUSE TRT
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. ROSCOE
  • NPI Number: 1407220791
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2116061
LAB Type Other - RES SUBSTANCE ABUSE TRT
Facility Name SUMMIT BHC LLC DBA MOUNTAIN LAUREL RECOVERY CTR
Street 355 CHURCH STREET
City WESTFIELD
State PA
ZIP 16950
Phone 814 367-5003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Other - RES SUBSTANCE ABUSE TRT
Lab Director DR. BRANDON M. ROSCOE

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