39D0864912 CLIA NUMBER - UPMC HAMOT LAKEVIEW UROLOGIC SURGEONS

Laboratory Demographics

  • CLIA Code: 39D0864912
  • Facility Name: UPMC HAMOT LAKEVIEW UROLOGIC SURGEONS
  • Facility Address: 300 STATE STREET STE 301B
    ERIE, PA
    ZIP 16507
  • Facility Phone: 814 877-5700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JUSTINE M. SCHOBER MD
  • NPI Number: 1194790592
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0864912
LAB Type Physician Office
Facility Name UPMC HAMOT LAKEVIEW UROLOGIC SURGEONS
Street 300 STATE STREET STE 301B
City ERIE
State PA
ZIP 16507
Phone 814 877-5700
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JUSTINE M. SCHOBER MD

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