39D2163504 CLIA NUMBER - SNUG HARBOR REHABILITIATION AND RECOVERY

Laboratory Demographics

CLIA Number: 39D2163504

Facility Name: SNUG HARBOR REHABILITIATION AND RECOVERY

Facility Address:
4635 EAST LAKE ROAD
ERIE, PA
ZIP 16511
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Facility Phone Number: 814 616-8030

Facility Type: Other - DRUG/ALCOHOL REHAB

Certificate Type: Waiver

NPI Number: 1689230674

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	39D2163504
LAB Type	Other - DRUG/ALCOHOL REHAB
Facility Name	SNUG HARBOR REHABILITIATION AND RECOVERY
Street	4635 EAST LAKE ROAD
City	ERIE
State	PA
ZIP	16511
Phone	814 616-8030
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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