39D0901357 CLIA NUMBER - PREFERRED PRIMARY CARE-BURGETTSTOWN

Laboratory Demographics

  • CLIA Code: 39D0901357
  • Facility Name: PREFERRED PRIMARY CARE-BURGETTSTOWN
  • Facility Address: 1423 BURGETTSTOWN PLAZA
    BURGETTSTOWN, PA
    ZIP 15021
  • Facility Phone: 724 356-2273
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BRUCE K. MASKARINEC
  • NPI Number: 1487078572
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0901357
LAB Type Physician Office
Facility Name PREFERRED PRIMARY CARE-BURGETTSTOWN
Street 1423 BURGETTSTOWN PLAZA
City BURGETTSTOWN
State PA
ZIP 15021
Phone 724 356-2273
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 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director DR. BRUCE K. MASKARINEC

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