39D0182828 CLIA NUMBER - AHN-ELLWOOD CITY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 39D0182828
  • Facility Name: AHN-ELLWOOD CITY PRIMARY CARE
  • Facility Address: 1673 ROUTE 65
    ELLWOOD CITY, PA
    ZIP 16117
  • Facility Phone: 724 758-7559
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANASTASIA M. NEIL
  • NPI Number: 1376076760
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0182828
LAB Type Physician Office
Facility Name AHN-ELLWOOD CITY PRIMARY CARE
Street 1673 ROUTE 65
City ELLWOOD CITY
State PA
ZIP 16117
Phone 724 758-7559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. ANASTASIA M. NEIL

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