39D0719132 CLIA NUMBER - RENAISSANCE FP - UPMC - GLENSHAW

Laboratory Demographics

  • CLIA Code: 39D0719132
  • Facility Name: RENAISSANCE FP - UPMC - GLENSHAW
  • Facility Address: 619 MOUNT ROYAL BOULEVARD
    PITTSBURGH, PA
    ZIP 15223
  • Facility Phone: 412 487-4422
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JONATHAN R. POWELL
  • NPI Number: 1760524912
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0719132
LAB Type Physician Office
Facility Name RENAISSANCE FP - UPMC - GLENSHAW
Street 619 MOUNT ROYAL BOULEVARD
City PITTSBURGH
State PA
ZIP 15223
Phone 412 487-4422
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 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director DR. JONATHAN R. POWELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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