39D0887038 CLIA NUMBER - THREE RIVERS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 39D0887038
  • Facility Name: THREE RIVERS DERMATOLOGY
  • Facility Address: 980 BEAVER GRADE ROAD
    CORAOPOLIS, PA
    ZIP 15108
  • Facility Phone: 412 262-4911
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAMON M. MCCLAIN
  • NPI Number: 1962886424
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D0887038
LAB Type Physician Office
Facility Name THREE RIVERS DERMATOLOGY
Street 980 BEAVER GRADE ROAD
City CORAOPOLIS
State PA
ZIP 15108
Phone 412 262-4911
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 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DR. DAMON M. MCCLAIN

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