39D0726713 CLIA NUMBER - WASHINGTON PEDIATRIC & ADOLESCENT MED

Laboratory Demographics

  • CLIA Code: 39D0726713
  • Facility Name: WASHINGTON PEDIATRIC & ADOLESCENT MED
  • Facility Address: 100 WELLNESS WAY BLDG 2
    WASHINGTON, PA
    ZIP 15301
  • Facility Phone: 724 250-6001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TINA M. LENGAUER
  • NPI Number: 1518056944
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0726713
LAB Type Physician Office
Facility Name WASHINGTON PEDIATRIC & ADOLESCENT MED
Street 100 WELLNESS WAY BLDG 2
City WASHINGTON
State PA
ZIP 15301
Phone 724 250-6001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director DR. TINA M. LENGAUER

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