39D2251586 CLIA NUMBER - ELAN GARDENS

Laboratory Demographics

  • CLIA Code: 39D2251586
  • Facility Name: ELAN GARDENS
  • Facility Address: 465 VENARD ROAD
    CLARKS SUMMIT, PA
    ZIP 18411
  • Facility Phone: 570 585-4400
  • Facility Type: Other - PERSONAL CARE HOME
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH J. SEBASTIANELLI
  • NPI Number: 1871318501
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2251586
LAB Type Other - PERSONAL CARE HOME
Facility Name ELAN GARDENS
Street 465 VENARD ROAD
City CLARKS SUMMIT
State PA
ZIP 18411
Phone 570 585-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Other - PERSONAL CARE HOME
Lab Director DR. KENNETH J. SEBASTIANELLI

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