36D0333569 CLIA NUMBER - LAKESIDE FAMILY MEDICINE - UPMC

Laboratory Demographics

  • CLIA Code: 36D0333569
  • Facility Name: LAKESIDE FAMILY MEDICINE - UPMC
  • Facility Address: 90 SHENANGO STREET SUITE #5
    GREENVILLE, PA
    ZIP 16125
  • Facility Phone: 440 293-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK L. STABILE JR
  • NPI Number: 1235538828
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 36D0333569
LAB Type Physician Office
Facility Name LAKESIDE FAMILY MEDICINE - UPMC
Street 90 SHENANGO STREET SUITE #5
City GREENVILLE
State PA
ZIP 16125
Phone 440 293-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. MARK L. STABILE JR

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