39D0183286 CLIA NUMBER - PHILIP A GELACEK MD LABORATORY

Laboratory Demographics

CLIA Number: 39D0183286

Facility Name: PHILIP A GELACEK MD LABORATORY

Facility Address:
313 FORD STREET SUITE 2A
FORD CITY, PA
ZIP 16226
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Facility Phone Number: 724 763-7144

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1871588087

Taxonomy: 207QG0300X - Family Medicine
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	39D0183286
LAB Type	Physician Office
Facility Name	PHILIP A GELACEK MD LABORATORY
Street	313 FORD STREET SUITE 2A
City	FORD CITY
State	PA
ZIP	16226
Phone	724 763-7144
CertificateType	3
CertificateEffectiveDate	4/27/2024
CertificateExpirationDate	4/26/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024