39D0178284 CLIA NUMBER - GREEN TREE MEDICAL ASSOC LAB

Laboratory Demographics

  • CLIA Code: 39D0178284
  • Facility Name: GREEN TREE MEDICAL ASSOC LAB
  • Facility Address: 651 HOLIDAY DRIVE SUITE 100
    PITTSBURGH, PA
    ZIP 15220
  • Facility Phone: 412 922-8490
  • Facility Type: Health Main. Organization
  • Facility Type: Microscopy
  • Lab Director: DR. JACLYN A. DELGRECO
  • NPI Number: 1790750792
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0178284
LAB Type Health Main. Organization
Facility Name GREEN TREE MEDICAL ASSOC LAB
Street 651 HOLIDAY DRIVE SUITE 100
City PITTSBURGH
State PA
ZIP 15220
Phone 412 922-8490
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 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Health Main. Organization
Lab Director DR. JACLYN A. DELGRECO

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