39D0682004 CLIA NUMBER - UPMC CHILDRENS EXPRESS CARE

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Laboratory Demographics

CLIA Number: 39D0682004

Facility Name: UPMC CHILDRENS EXPRESS CARE

Facility Address:
4401 PENN AVE, LEVEL 3 - COW POD
PITTSBURGH, PA
ZIP 15224
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Facility Phone Number: 412 692-8750

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619313350

Taxonomy: 283XC2000X - Rehabilitation Hospital

CLIA Record

Field Name	Field Value
CLIA Number	39D0682004
LAB Type	Physician Office
Facility Name	UPMC CHILDRENS EXPRESS CARE
Street	4401 PENN AVE, LEVEL 3 - COW POD
City	PITTSBURGH
State	PA
ZIP	15224
Phone	412 692-8750
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	Waiver

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