39D0693920 CLIA NUMBER - CHILDREN'S COMMUNITY CARE - MOON

Laboratory Demographics

  • CLIA Code: 39D0693920
  • Facility Name: CHILDREN'S COMMUNITY CARE - MOON
  • Facility Address: 1600 CORAOPOLIS HEIGHTS ROAD STE E
    MOON TOWNSHIP, PA
    ZIP 15108
  • Facility Phone: 412 262-2503
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRADLEY R. KRAMER
  • NPI Number: 1063429678
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0693920
LAB Type Physician Office
Facility Name CHILDREN'S COMMUNITY CARE - MOON
Street 1600 CORAOPOLIS HEIGHTS ROAD STE E
City MOON TOWNSHIP
State PA
ZIP 15108
Phone 412 262-2503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director DR. BRADLEY R. KRAMER

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