39D2309651 CLIA NUMBER - WILLIAMSPORT NORTH REHAB & NURSING CTR

Laboratory Demographics

  • CLIA Code: 39D2309651
  • Facility Name: WILLIAMSPORT NORTH REHAB & NURSING CTR
  • Facility Address: 300 LEADER DRIVE
    WILLIAMSPORT, PA
    ZIP 17701
  • Facility Phone: 570 323-8627
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW E. GRAF
  • NPI Number: 1346826948
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2309651
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLIAMSPORT NORTH REHAB & NURSING CTR
Street 300 LEADER DRIVE
City WILLIAMSPORT
State PA
ZIP 17701
Phone 570 323-8627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ANDREW E. GRAF

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