39D0182960 CLIA NUMBER - MERCER PRIMARY CARE PHN

Laboratory Demographics

  • CLIA Code: 39D0182960
  • Facility Name: MERCER PRIMARY CARE PHN
  • Facility Address: 737 GREENVILLE ROAD
    MERCER, PA
    ZIP 16137
  • Facility Phone: 724 662-2650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BENJAMIN L. SHIPTON
  • NPI Number: 1447382296
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0182960
LAB Type Physician Office
Facility Name MERCER PRIMARY CARE PHN
Street 737 GREENVILLE ROAD
City MERCER
State PA
ZIP 16137
Phone 724 662-2650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director DR. BENJAMIN L. SHIPTON

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