39D0902735 CLIA NUMBER - DUBOIS NEPHROLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 39D0902735
  • Facility Name: DUBOIS NEPHROLOGY ASSOCIATES PC
  • Facility Address: 190 WEST PARK AVENUE SUITE 1
    DUBOIS, PA
    ZIP 15801
  • Facility Phone: 814 661-9261
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW T. STAINBROOK
  • NPI Number: 1518905900
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0902735
LAB Type Physician Office
Facility Name DUBOIS NEPHROLOGY ASSOCIATES PC
Street 190 WEST PARK AVENUE SUITE 1
City DUBOIS
State PA
ZIP 15801
Phone 814 661-9261
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 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director MATTHEW T. STAINBROOK

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: 9/29/2025