39D2169347 CLIA NUMBER - SUNCREST HOSPICE PITTSBURGH

Laboratory Demographics

CLIA Number: 39D2169347

Facility Name: SUNCREST HOSPICE PITTSBURGH

Facility Address:
300 PENN CENTER BOULEVARD, SUITE 120
PITTSBURGH, PA
ZIP 15235
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Facility Phone Number: 878 302-1136

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1801350640

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	39D2169347
LAB Type	Hospice
Facility Name	SUNCREST HOSPICE PITTSBURGH
Street	300 PENN CENTER BOULEVARD, SUITE 120
City	PITTSBURGH
State	PA
ZIP	15235
Phone	878 302-1136
CertificateType	4
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	7/17/2025
FacilityType	Waiver

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