39D0179895 CLIA NUMBER - PRIMARY CARE PROFESSIONALS-WATERDAM ALLEGHENY CLINIC

Laboratory Demographics

  • CLIA Code: 39D0179895
  • Facility Name: PRIMARY CARE PROFESSIONALS-WATERDAM ALLEGHENY CLINIC
  • Facility Address: 157 WATERDAM ROAD SUITE 120
    MCMURRAY, PA
    ZIP 15317
  • Facility Phone: (724) 941-6697
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY R. GRETZ DO
  • NPI Number: 1144656125
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0179895
LAB Type Physician Office
Facility Name PRIMARY CARE PROFESSIONALS-WATERDAM ALLEGHENY CLINIC
Street 157 WATERDAM ROAD SUITE 120
City MCMURRAY
State PA
ZIP 15317
Phone 7249416697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DR. JEFFREY R. GRETZ DO

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