39D0181724 CLIA NUMBER - DUBOIS REGIONAL MED CENTER EAST LAB

Laboratory Demographics

CLIA Number: 39D0181724

Facility Name: DUBOIS REGIONAL MED CENTER EAST LAB

Facility Address:
MAPLE AVENUE
DU BOIS, PA
ZIP 15801
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Facility Phone Number: 814 375-3238

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1639373020

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	39D0181724
LAB Type	Hospital
Facility Name	DUBOIS REGIONAL MED CENTER EAST LAB
Street	MAPLE AVENUE
City	DU BOIS
State	PA
ZIP	15801
Phone	814 375-3238
CertificateType	4
CertificateEffectiveDate	1/2/2023
CertificateExpirationDate	1/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024