39D2117156 CLIA NUMBER - NEW VITAE MOUNT TREXLER MANOR

Laboratory Demographics

  • CLIA Code: 39D2117156
  • Facility Name: NEW VITAE MOUNT TREXLER MANOR
  • Facility Address: 5201 ST JOSEPH'S ROAD
    LIMEPORT, PA
    ZIP 18060
  • Facility Phone: 610 965-9021
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID BEHAR
  • NPI Number: 1538515564
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2117156
LAB Type Assisted Living Facility
Facility Name NEW VITAE MOUNT TREXLER MANOR
Street 5201 ST JOSEPH'S ROAD
City LIMEPORT
State PA
ZIP 18060
Phone 610 965-9021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Assisted Living Facility
Lab Director DR. DAVID BEHAR

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