39D0180315 CLIA NUMBER - FAIRCHANCE MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 39D0180315
  • Facility Name: FAIRCHANCE MEDICAL OFFICE
  • Facility Address: 93 N MORGANTOWN ROAD
    FAIRCHANCE, PA
    ZIP 15436
  • Facility Phone: 724 564-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NATALEE A. KONTIR
  • NPI Number: 1548362031
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 39D0180315
LAB Type Physician Office
Facility Name FAIRCHANCE MEDICAL OFFICE
Street 93 N MORGANTOWN ROAD
City FAIRCHANCE
State PA
ZIP 15436
Phone 724 564-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director DR. NATALEE A. KONTIR

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