39D2263185 CLIA NUMBER - VIECARE BEAVER, LLC

Laboratory Demographics

CLIA Number: 39D2263185

Facility Name: VIECARE BEAVER, LLC

Facility Address:
131 PLEASANT DRIVE
ALIQUIPPA, PA
ZIP 15001
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Facility Phone Number: 724 378-5400

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1184899494

Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

CLIA Record

Field Name Field Value
CLIA Number 39D2263185
LAB Type Community Clinic
Facility Name VIECARE BEAVER, LLC
Street 131 PLEASANT DRIVE
City ALIQUIPPA
State PA
ZIP 15001
Phone 724 378-5400
CertificateType 4
CertificateEffectiveDate 6/24/2022
CertificateExpirationDate 6/23/2024
FacilityType Waiver

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