39D2284848 CLIA NUMBER - INTEGRITYFORWARD HEALTH SOLUTIONS

Laboratory Demographics

  • CLIA Code: 39D2284848
  • Facility Name: INTEGRITYFORWARD HEALTH SOLUTIONS
  • Facility Address: 750 WILLOW VALLEY LAKES DRIVE
    WILLOW STREET, PA
    ZIP 17584
  • Facility Phone: 717 464-6200
  • Facility Type: Other - CCRC NP/WELLNESS OFFICE
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS D. BRAIDE
  • NPI Number: 1407449168
  • Taxonomy: 2251N0400X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 39D2284848
LAB Type Other - CCRC NP/WELLNESS OFFICE
Facility Name INTEGRITYFORWARD HEALTH SOLUTIONS
Street 750 WILLOW VALLEY LAKES DRIVE
City WILLOW STREET
State PA
ZIP 17584
Phone 717 464-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Other - CCRC NP/WELLNESS OFFICE
Lab Director DR. THOMAS D. BRAIDE

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