39D2302602 CLIA NUMBER - CENTER FOR BEHAVIORAL HLTH-HA LLC

Laboratory Demographics

  • CLIA Code: 39D2302602
  • Facility Name: CENTER FOR BEHAVIORAL HLTH-HA LLC
  • Facility Address: 129 SOUTH MAIN STREET
    LEWISTOWN, PA
    ZIP 17044
  • Facility Phone: 570 344-5327
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. SANDRA K. CHARLES
  • NPI Number: 1912546417
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2302602
LAB Type Comp. Outpatient Rehab Facility
Facility Name CENTER FOR BEHAVIORAL HLTH-HA LLC
Street 129 SOUTH MAIN STREET
City LEWISTOWN
State PA
ZIP 17044
Phone 570 344-5327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. SANDRA K. CHARLES

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