39D0184613 CLIA NUMBER - GLENDALE AREA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 39D0184613
  • Facility Name: GLENDALE AREA MEDICAL CENTER
  • Facility Address: 850 MAIN ST PO BOX 375
    COALPORT, PA
    ZIP 16627
  • Facility Phone: 814 672-5141
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SOHAIL SHARIFF
  • NPI Number: 1265780993
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0184613
LAB Type Community Clinic
Facility Name GLENDALE AREA MEDICAL CENTER
Street 850 MAIN ST PO BOX 375
City COALPORT
State PA
ZIP 16627
Phone 814 672-5141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Community Clinic
Lab Director DR. SOHAIL SHARIFF

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