39D2321422 CLIA NUMBER - GAUDENZIA DRIVING RECOVERY IN PA

Laboratory Demographics

  • CLIA Code: 39D2321422
  • Facility Name: GAUDENZIA DRIVING RECOVERY IN PA
  • Facility Address: 500 NORTHUMBERLAND COUNTY DR
    COAL TOWNSHIP, PA
    ZIP 17866
  • Facility Phone: (717) 931-1988
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY A. YOCUM
  • NPI Number: 1609358456
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2321422
LAB Type Mobile Laboratory
Facility Name GAUDENZIA DRIVING RECOVERY IN PA
Street 500 NORTHUMBERLAND COUNTY DR
City COAL TOWNSHIP
State PA
ZIP 17866
Phone 7179311988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Mobile Laboratory
Lab Director DR. JEFFREY A. YOCUM

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This page was last updated on: 5/18/2026