39D0181441 CLIA NUMBER - SHENGGAO HAN MD

Laboratory Demographics

  • CLIA Code: 39D0181441
  • Facility Name: SHENGGAO HAN MD
  • Facility Address: 625 RUSTIC LODGE RD
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 724 463-3720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHENGGAO M. HAN MD
  • NPI Number: 1619352820
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 39D0181441
LAB Type Physician Office
Facility Name SHENGGAO HAN MD
Street 625 RUSTIC LODGE RD
City INDIANA
State PA
ZIP 15701
Phone 724 463-3720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director SHENGGAO M. HAN MD

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