39D0189527 CLIA NUMBER - MAHENDRA PUJARA MD

Laboratory Demographics

  • CLIA Code: 39D0189527
  • Facility Name: MAHENDRA PUJARA MD
  • Facility Address: 1630 MT HOPE AVE
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: 717 622-1553
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHENDRA M. PUJARA
  • NPI Number: 1952371924
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 39D0189527
LAB Type Physician Office
Facility Name MAHENDRA PUJARA MD
Street 1630 MT HOPE AVE
City POTTSVILLE
State PA
ZIP 17901
Phone 717 622-1553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MAHENDRA M. PUJARA

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