39D0181790 CLIA NUMBER - PENN HIGHLANDS BROKVLLE FMLY MED

Laboratory Demographics

  • CLIA Code: 39D0181790
  • Facility Name: PENN HIGHLANDS BROKVLLE FMLY MED
  • Facility Address: 88 HOSPITAL ROAD
    BROOKVILLE, PA
    ZIP 15825
  • Facility Phone: 814 849-1874
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY A. KENNEDY
  • NPI Number: 1760452924
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 39D0181790
LAB Type Physician Office
Facility Name PENN HIGHLANDS BROKVLLE FMLY MED
Street 88 HOSPITAL ROAD
City BROOKVILLE
State PA
ZIP 15825
Phone 814 849-1874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director DR. TIMOTHY A. KENNEDY

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