39D0184354 CLIA NUMBER - LAKESHORE FAMILY PRACTICE REGIONAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 39D0184354
  • Facility Name: LAKESHORE FAMILY PRACTICE REGIONAL HEALTH SERVICES
  • Facility Address: 5241 BUFFALO ROAD
    ERIE, PA
    ZIP 16510
  • Facility Phone: 814 877-7686
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHRISTIE J. RAY MD
  • NPI Number: 1134386543
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 39D0184354
LAB Type Practitioner Other
Facility Name LAKESHORE FAMILY PRACTICE REGIONAL HEALTH SERVICES
Street 5241 BUFFALO ROAD
City ERIE
State PA
ZIP 16510
Phone 814 877-7686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Practitioner Other
Lab Director CHRISTIE J. RAY MD

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