39D0181752 CLIA NUMBER - JAMES E DEVLIN MD LAB

Laboratory Demographics

  • CLIA Code: 39D0181752
  • Facility Name: JAMES E DEVLIN MD LAB
  • Facility Address: 1100 MAIN STREET PO BOX 219
    BROCKWAY, PA
    ZIP 15824
  • Facility Phone: 814 268-3645
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES E. DEVLIN MD
  • NPI Number: 1306954722
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0181752
LAB Type Physician Office
Facility Name JAMES E DEVLIN MD LAB
Street 1100 MAIN STREET PO BOX 219
City BROCKWAY
State PA
ZIP 15824
Phone 814 268-3645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director JAMES E. DEVLIN MD

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