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39D2238330 CLIA NUMBER - SIGNAL PA HOSPICE

Laboratory Demographics

CLIA Number: 39D2238330

Facility Name: SIGNAL PA HOSPICE

Facility Address:
1716 MAIN ST
BLAKELY, PA
ZIP 18447
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Facility Phone Number: 570 342-3314

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1033682364

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 39D2238330
LAB Type Hospice
Facility Name SIGNAL PA HOSPICE
Street 1716 MAIN ST
City BLAKELY
State PA
ZIP 18447
Phone 570 342-3314
CertificateType 4
CertificateEffectiveDate 10/2/2023
CertificateExpirationDate 10/1/2025
FacilityType Waiver

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