39D0697965 CLIA NUMBER - ASSOCIATES IN NEPHROLOGY PC

Laboratory Demographics

  • CLIA Code: 39D0697965
  • Facility Name: ASSOCIATES IN NEPHROLOGY PC
  • Facility Address: 311 WEST 24 STREET SUITE 402
    ERIE, PA
    ZIP 16502
  • Facility Phone: 814 453-6687
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD C. CLARK MD
  • NPI Number: 1568419448
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0697965
LAB Type Physician Office
Facility Name ASSOCIATES IN NEPHROLOGY PC
Street 311 WEST 24 STREET SUITE 402
City ERIE
State PA
ZIP 16502
Phone 814 453-6687
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Physician Office
Lab Director EDWARD C. CLARK MD

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