39D2243421 CLIA NUMBER - PYRAMID HEALTHCARE PINE RIDGE MANOR HWH

Laboratory Demographics

  • CLIA Code: 39D2243421
  • Facility Name: PYRAMID HEALTHCARE PINE RIDGE MANOR HWH
  • Facility Address: 13505 SOUTH EAGLE VALLEY ROAD
    TYRONE, PA
    ZIP 16686
  • Facility Phone: 814 940-0407
  • Facility Type: Other - DRUG&ALCOHOLHALFWAY HOUSE
  • Facility Type: Waiver
  • Lab Director: DR. BRETT L. SCHARF
  • NPI Number: 1033230461
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2243421
LAB Type Other - DRUG&ALCOHOLHALFWAY HOUSE
Facility Name PYRAMID HEALTHCARE PINE RIDGE MANOR HWH
Street 13505 SOUTH EAGLE VALLEY ROAD
City TYRONE
State PA
ZIP 16686
Phone 814 940-0407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Other - DRUG&ALCOHOLHALFWAY HOUSE
Lab Director DR. BRETT L. SCHARF

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