39D2177007 CLIA NUMBER - TIFFANY COURT AT KINGSTON

Laboratory Demographics

  • CLIA Code: 39D2177007
  • Facility Name: TIFFANY COURT AT KINGSTON
  • Facility Address: 700 NORTHAMPTON STREET
    KINGSTON, PA
    ZIP 18704
  • Facility Phone: 570 283-2336
  • Facility Type: Other - PERSONAL HOME
  • Facility Type: Waiver
  • Lab Director: JENNIFER POLLOCK
  • NPI Number: 1861636599
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2177007
LAB Type Other - PERSONAL HOME
Facility Name TIFFANY COURT AT KINGSTON
Street 700 NORTHAMPTON STREET
City KINGSTON
State PA
ZIP 18704
Phone 570 283-2336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Other - PERSONAL HOME
Lab Director JENNIFER POLLOCK

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