39D0179505 CLIA NUMBER - VINCENTIAN HOME

Laboratory Demographics

  • CLIA Code: 39D0179505
  • Facility Name: VINCENTIAN HOME
  • Facility Address: 111 PERRYMONT ROAD
    PITTSBURGH, PA
    ZIP 15237
  • Facility Phone: 412 366-5600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER G. KOMAN
  • NPI Number: 1588660906
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0179505
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VINCENTIAN HOME
Street 111 PERRYMONT ROAD
City PITTSBURGH
State PA
ZIP 15237
Phone 412 366-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. CHRISTOPHER G. KOMAN

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