39D0873979 CLIA NUMBER - RENAISSANCE FP UPMC RIDC

Laboratory Demographics

  • CLIA Code: 39D0873979
  • Facility Name: RENAISSANCE FP UPMC RIDC
  • Facility Address: 121 FREEPORT ROAD - ZOLL BLDG, SUITE 100
    BLAWNOX, PA
    ZIP 15238
  • Facility Phone: 412 781-1917
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GABRIEL ANDREWS MD
  • NPI Number: 1194212407
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0873979
LAB Type Physician Office
Facility Name RENAISSANCE FP UPMC RIDC
Street 121 FREEPORT ROAD - ZOLL BLDG, SUITE 100
City BLAWNOX
State PA
ZIP 15238
Phone 412 781-1917
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 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director DR. GABRIEL ANDREWS MD

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