39D2152840 CLIA NUMBER - WILLOWBROOK PLACE

Laboratory Demographics

  • CLIA Code: 39D2152840
  • Facility Name: WILLOWBROOK PLACE
  • Facility Address: 150 EDELLA ROAD
    CLARKS SUMMIT, PA
    ZIP 18411
  • Facility Phone: 570 586-6028
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATHAN TUROCK
  • NPI Number: 1104852987
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2152840
LAB Type Assisted Living Facility
Facility Name WILLOWBROOK PLACE
Street 150 EDELLA ROAD
City CLARKS SUMMIT
State PA
ZIP 18411
Phone 570 586-6028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Assisted Living Facility
Lab Director NATHAN TUROCK

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