39D0902906 CLIA NUMBER - TRI-COUNTY COMMUNITY HEALTH CTR

Laboratory Demographics

  • CLIA Code: 39D0902906
  • Facility Name: TRI-COUNTY COMMUNITY HEALTH CTR
  • Facility Address: 1555 SHAWNA ROAD
    CHERRY TREE, PA
    ZIP 15724
  • Facility Phone: 814 743-5449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN FOULK
  • NPI Number: 1295087617
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0902906
LAB Type Physician Office
Facility Name TRI-COUNTY COMMUNITY HEALTH CTR
Street 1555 SHAWNA ROAD
City CHERRY TREE
State PA
ZIP 15724
Phone 814 743-5449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. BRIAN FOULK

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