39D2201789 CLIA NUMBER - LUTHER RIDGE AT SEIDERS HILL

Laboratory Demographics

  • CLIA Code: 39D2201789
  • Facility Name: LUTHER RIDGE AT SEIDERS HILL
  • Facility Address: 160 RED HORSE RD
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: 570 621-7200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. DIANA LAZUR
  • NPI Number: 1891719498
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2201789
LAB Type Assisted Living Facility
Facility Name LUTHER RIDGE AT SEIDERS HILL
Street 160 RED HORSE RD
City POTTSVILLE
State PA
ZIP 17901
Phone 570 621-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Assisted Living Facility
Lab Director DR. DIANA LAZUR

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