39D0858967 CLIA NUMBER - HOFFMAN MEMORIAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 39D0858967

Facility Name: HOFFMAN MEMORIAL MEDICAL CENTER

Facility Address:
419 KELLYS WAY
EAST BRADY, PA
ZIP 16028
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Facility Phone Number: 724 526-5600

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1265639553

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0858967
LAB Type	Physician Office
Facility Name	HOFFMAN MEMORIAL MEDICAL CENTER
Street	419 KELLYS WAY
City	EAST BRADY
State	PA
ZIP	16028
Phone	724 526-5600
CertificateType	3
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024