39D0181437 CLIA NUMBER - INDIANA PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 39D0181437
  • Facility Name: INDIANA PEDIATRIC ASSOCIATES PC
  • Facility Address: 2255 PHILADELPHIA STREET
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 724 463-0476
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTINA LUBOLD
  • NPI Number: 1467589796
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0181437
LAB Type Physician Office
Facility Name INDIANA PEDIATRIC ASSOCIATES PC
Street 2255 PHILADELPHIA STREET
City INDIANA
State PA
ZIP 15701
Phone 724 463-0476
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 Physician Office
Lab Director DR. CHRISTINA LUBOLD

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