39D2285673 CLIA NUMBER - MEADOW RIDGE AT WILLOW VALLEY COMMUNITIES

Laboratory Demographics

  • CLIA Code: 39D2285673
  • Facility Name: MEADOW RIDGE AT WILLOW VALLEY COMMUNITIES
  • Facility Address: 925 WILLOW VALLEY LAKES DRIVE
    WILLOW STREET, PA
    ZIP 17584
  • Facility Phone: 717 490-8100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS D. BRAIDE
  • NPI Number: 1609250174
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2285673
LAB Type Assisted Living Facility
Facility Name MEADOW RIDGE AT WILLOW VALLEY COMMUNITIES
Street 925 WILLOW VALLEY LAKES DRIVE
City WILLOW STREET
State PA
ZIP 17584
Phone 717 490-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Assisted Living Facility
Lab Director DR. THOMAS D. BRAIDE

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