39D0179899 CLIA NUMBER - PREFERRED PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 39D0179899
  • Facility Name: PREFERRED PRIMARY CARE PHYSICIANS INC
  • Facility Address: 2000 OXFORD DRIVE STE 560
    BETHEL PARK, PA
    ZIP 15102
  • Facility Phone: (412) 831-1522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN G. KOTAR DO
  • NPI Number: 1083765770
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0179899
LAB Type Physician Office
Facility Name PREFERRED PRIMARY CARE PHYSICIANS INC
Street 2000 OXFORD DRIVE STE 560
City BETHEL PARK
State PA
ZIP 15102
Phone 4128311522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director DR. KEVIN G. KOTAR DO

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