39D0182572 CLIA NUMBER - PETROLEUM VALLEY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 39D0182572
  • Facility Name: PETROLEUM VALLEY MEDICAL CENTER
  • Facility Address: 296 CHURCH STREET
    PETROLIA, PA
    ZIP 16050
  • Facility Phone: (724) 756-2940
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANGELA D. SIMMONS

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CLIA Record

Field Name Field Value
CLIA Number 39D0182572
LAB Type Physician Office
Facility Name PETROLEUM VALLEY MEDICAL CENTER
Street 296 CHURCH STREET
City PETROLIA
State PA
ZIP 16050
Phone 7247562940
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director DR. ANGELA D. SIMMONS

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This page was last updated on: 5/15/2026