39D2171026 CLIA NUMBER - TAPESTRY MOON, LLC DBA TAPESTRY SENIOR LIVING MOON TWP

Laboratory Demographics

  • CLIA Code: 39D2171026
  • Facility Name: TAPESTRY MOON, LLC DBA TAPESTRY SENIOR LIVING MOON TWP
  • Facility Address: 550 CHERRINGTON PARKWAY
    CORAOPOLIS, PA
    ZIP 15108
  • Facility Phone: 412 507-9999
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY L. JACKSON
  • NPI Number: 1174373617
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2171026
LAB Type Assisted Living Facility
Facility Name TAPESTRY MOON, LLC DBA TAPESTRY SENIOR LIVING MOON TWP
Street 550 CHERRINGTON PARKWAY
City CORAOPOLIS
State PA
ZIP 15108
Phone 412 507-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Assisted Living Facility
Lab Director DR. TIMOTHY L. JACKSON

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