39D0175531 CLIA NUMBER - MON-VALE PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 39D0175531
  • Facility Name: MON-VALE PRIMARY CARE, INC
  • Facility Address: 447 WEST MAIN STREET
    MONONGAHELA, PA
    ZIP 15063
  • Facility Phone: (814) 375-4897
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOHN A. HOLETS
  • NPI Number: 1013201466
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 39D0175531
LAB Type Physician Office
Facility Name MON-VALE PRIMARY CARE, INC
Street 447 WEST MAIN STREET
City MONONGAHELA
State PA
ZIP 15063
Phone 8143754897
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director DR. JOHN A. HOLETS

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