39D2248698 CLIA NUMBER - MOUNTAINS EDGE RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 39D2248698
  • Facility Name: MOUNTAINS EDGE RECOVERY CENTER
  • Facility Address: 310 SUGAR HILL ROAD
    UNION DALE, PA
    ZIP 18470
  • Facility Phone: 570 679-2461
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW C. HALEY
  • NPI Number: 1386201713
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2248698
LAB Type Independent
Facility Name MOUNTAINS EDGE RECOVERY CENTER
Street 310 SUGAR HILL ROAD
City UNION DALE
State PA
ZIP 18470
Phone 570 679-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Independent
Lab Director DR. MATTHEW C. HALEY

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