39D0891608 CLIA NUMBER - CENTERVILLE CLINICS - REPUBLIC

Laboratory Demographics

  • CLIA Code: 39D0891608
  • Facility Name: CENTERVILLE CLINICS - REPUBLIC
  • Facility Address: 1006 MAIN STREET
    REPUBLIC, PA
    ZIP 15475
  • Facility Phone: 724 246-9434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TARA S. LEMAIRE
  • NPI Number: 1932181047
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 39D0891608
LAB Type Physician Office
Facility Name CENTERVILLE CLINICS - REPUBLIC
Street 1006 MAIN STREET
City REPUBLIC
State PA
ZIP 15475
Phone 724 246-9434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director DR. TARA S. LEMAIRE

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