39D0886243 CLIA NUMBER - CHILDRENS COMMUNITY PEDIATRICS HAMOT

Laboratory Demographics

  • CLIA Code: 39D0886243
  • Facility Name: CHILDRENS COMMUNITY PEDIATRICS HAMOT
  • Facility Address: 1700 PEACH ST SUITE 200
    ERIE, PA
    ZIP 16502
  • Facility Phone: 814 877-7907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL L. WEBSTER
  • NPI Number: 1285070557
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0886243
LAB Type Physician Office
Facility Name CHILDRENS COMMUNITY PEDIATRICS HAMOT
Street 1700 PEACH ST SUITE 200
City ERIE
State PA
ZIP 16502
Phone 814 877-7907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director DR. MICHAEL L. WEBSTER

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