39D0900393 CLIA NUMBER - PRIMARY CARE AND PEDIATRICS INDIANA

Laboratory Demographics

  • CLIA Code: 39D0900393
  • Facility Name: PRIMARY CARE AND PEDIATRICS INDIANA
  • Facility Address: 2121 SHELLY DRIVE
    INDIANA, PA
    ZIP 15701
  • Facility Phone: (814) 503-8070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA A. AYRES

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0900393
LAB Type Physician Office
Facility Name PRIMARY CARE AND PEDIATRICS INDIANA
Street 2121 SHELLY DRIVE
City INDIANA
State PA
ZIP 15701
Phone 8145038070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director JESSICA A. AYRES

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: 5/18/2026