39D0712503 CLIA NUMBER - CANONSBURG GEN HSP/CARDIO PULM

Laboratory Demographics

  • CLIA Code: 39D0712503
  • Facility Name: CANONSBURG GEN HSP/CARDIO PULM
  • Facility Address: 100 MEDICAL BOULEVARD SUITE 107 B
    CANONSBURG, PA
    ZIP 15317
  • Facility Phone: (412) 745-3917
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. RAGHUKUMAR D. THIRUMALA

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CLIA Record

Field Name Field Value
CLIA Number 39D0712503
LAB Type Hospital
Facility Name CANONSBURG GEN HSP/CARDIO PULM
Street 100 MEDICAL BOULEVARD SUITE 107 B
City CANONSBURG
State PA
ZIP 15317
Phone 4127453917
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. RAGHUKUMAR D. THIRUMALA

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This page was last updated on: 5/18/2026