39D2275203 CLIA NUMBER - WESTMORELAND COUNTY PRISON

Laboratory Demographics

CLIA Number: 39D2275203

Facility Name: WESTMORELAND COUNTY PRISON

Facility Address:
3000 S GRANDE BLVD
GREENSBURG, PA
ZIP 15601
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Facility Phone Number: 724 830-6049

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1265551857

Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	39D2275203
LAB Type	Prison
Facility Name	WESTMORELAND COUNTY PRISON
Street	3000 S GRANDE BLVD
City	GREENSBURG
State	PA
ZIP	15601
Phone	724 830-6049
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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