39D0180528 CLIA NUMBER - CHESTNUT RIDGE FAMILY MED UPMC

Laboratory Demographics

  • CLIA Code: 39D0180528
  • Facility Name: CHESTNUT RIDGE FAMILY MED UPMC
  • Facility Address: 2040 QUAKER VALLEY ROAD
    FISHERTOWN, PA
    ZIP 15539
  • Facility Phone: 814 839-4152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BETH A. CLARK
  • NPI Number: 1568428597
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D0180528
LAB Type Physician Office
Facility Name CHESTNUT RIDGE FAMILY MED UPMC
Street 2040 QUAKER VALLEY ROAD
City FISHERTOWN
State PA
ZIP 15539
Phone 814 839-4152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director DR. BETH A. CLARK

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