39D0184808 CLIA NUMBER - PENN HIGHLANDS TYRONE

Laboratory Demographics

  • CLIA Code: 39D0184808
  • Facility Name: PENN HIGHLANDS TYRONE
  • Facility Address: 187 HOSPITAL DRIVE
    TYRONE, PA
    ZIP 16686
  • Facility Phone: 814 684-6384
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. VISHNU V. GANTA
  • NPI Number: 1326438920
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 39D0184808
LAB Type Hospital
Facility Name PENN HIGHLANDS TYRONE
Street 187 HOSPITAL DRIVE
City TYRONE
State PA
ZIP 16686
Phone 814 684-6384
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Hospital
Lab Director DR. VISHNU V. GANTA

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