39D0869608 CLIA NUMBER - OSTEOPATHIC CARDIOLOGY ASSOC LLC

Laboratory Demographics

  • CLIA Code: 39D0869608
  • Facility Name: OSTEOPATHIC CARDIOLOGY ASSOC LLC
  • Facility Address: 4002 SCHAPER AVENUE
    ERIE, PA
    ZIP 16508
  • Facility Phone: 814 866-2311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN J. MIKIELSKI
  • NPI Number: 1245287135
  • Taxonomy: 207UN0901X - Nuclear Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0869608
LAB Type Physician Office
Facility Name OSTEOPATHIC CARDIOLOGY ASSOC LLC
Street 4002 SCHAPER AVENUE
City ERIE
State PA
ZIP 16508
Phone 814 866-2311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director DR. KEVIN J. MIKIELSKI

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