39D0175789 CLIA NUMBER - UPMC PARTNERS IN HEALTH - LEVEL GREEN

Laboratory Demographics

CLIA Number: 39D0175789

Facility Name: UPMC PARTNERS IN HEALTH - LEVEL GREEN

Facility Address:
833 STATE ROUTE 130 LEVEL GREEN SHOPPES
TRAFFORD, PA
ZIP 15085
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Facility Phone Number: 412 856-7332

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821273715

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	39D0175789
LAB Type	Physician Office
Facility Name	UPMC PARTNERS IN HEALTH - LEVEL GREEN
Street	833 STATE ROUTE 130 LEVEL GREEN SHOPPES
City	TRAFFORD
State	PA
ZIP	15085
Phone	412 856-7332
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024