39D0880202 CLIA NUMBER - CANDYCE A LUCIAN DO LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0880202
  • Facility Name: CANDYCE A LUCIAN DO LABORATORY
  • Facility Address: 8508 STATE HIGHWAY 285
    CONNEAUT LAKE, PA
    ZIP 16316
  • Facility Phone: 814 382-5703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CANDYCE A. LUCIAN DO
  • NPI Number: 1871596429
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0880202
LAB Type Physician Office
Facility Name CANDYCE A LUCIAN DO LABORATORY
Street 8508 STATE HIGHWAY 285
City CONNEAUT LAKE
State PA
ZIP 16316
Phone 814 382-5703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director CANDYCE A. LUCIAN DO

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