39D2210118 CLIA NUMBER - CARE-FILL LTC

Laboratory Demographics

  • CLIA Code: 39D2210118
  • Facility Name: CARE-FILL LTC
  • Facility Address: 28 CONNEAUT LAKE ROAD
    GREENVILLE, PA
    ZIP 16125
  • Facility Phone: (724) 588-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLEE A. LEWIS
  • NPI Number: 1033620604
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2210118
LAB Type Pharmacy
Facility Name CARE-FILL LTC
Street 28 CONNEAUT LAKE ROAD
City GREENVILLE
State PA
ZIP 16125
Phone 7245886337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Pharmacy
Lab Director KYLEE A. LEWIS

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This page was last updated on: 5/18/2026