39D0183701 CLIA NUMBER - WARREN MEDICAL GROUP PLEASANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 39D0183701
  • Facility Name: WARREN MEDICAL GROUP PLEASANT PEDIATRICS
  • Facility Address: 145 PLEASANT DR
    WARREN, PA
    ZIP 16365
  • Facility Phone: 814 723-8023
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWINA M. CLARKE
  • NPI Number: 1578665428
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0183701
LAB Type Physician Office
Facility Name WARREN MEDICAL GROUP PLEASANT PEDIATRICS
Street 145 PLEASANT DR
City WARREN
State PA
ZIP 16365
Phone 814 723-8023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director DR. EDWINA M. CLARKE

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