39D0900325 CLIA NUMBER - ABRAXAS I GEO GROUP INC.

Laboratory Demographics

  • CLIA Code: 39D0900325
  • Facility Name: ABRAXAS I GEO GROUP INC.
  • Facility Address: 165 ABRAXAS ROAD
    MARIENVILLE, PA
    ZIP 16239
  • Facility Phone: 814 927-6615
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. PAUL E. HARVEY MD
  • NPI Number: 1194164442
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0900325
LAB Type Practitioner Other
Facility Name ABRAXAS I GEO GROUP INC.
Street 165 ABRAXAS ROAD
City MARIENVILLE
State PA
ZIP 16239
Phone 814 927-6615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Practitioner Other
Lab Director DR. PAUL E. HARVEY MD

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