39D0657100 CLIA NUMBER - AESTIQUE AMBULATORY SURGICAL CTR INC

Laboratory Demographics

CLIA Number: 39D0657100

Facility Name: AESTIQUE AMBULATORY SURGICAL CTR INC

Facility Address:
ONE AESTHETIC WAY
GREENSBURG, PA
ZIP 15601
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Facility Phone Number: 412 832-7555

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1861462038

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0657100
LAB Type	Ambulatory Surgery Center
Facility Name	AESTIQUE AMBULATORY SURGICAL CTR INC
Street	ONE AESTHETIC WAY
City	GREENSBURG
State	PA
ZIP	15601
Phone	412 832-7555
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024