39D0906123 CLIA NUMBER - DEAN W SPENCER MD

Laboratory Demographics

  • CLIA Code: 39D0906123
  • Facility Name: DEAN W SPENCER MD
  • Facility Address: 1012 WATER ST
    MEADVILLE, PA
    ZIP 16335
  • Facility Phone: 814 382-3100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DEAN W. SPENCER
  • NPI Number: 1043213465
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0906123
LAB Type Physician Office
Facility Name DEAN W SPENCER MD
Street 1012 WATER ST
City MEADVILLE
State PA
ZIP 16335
Phone 814 382-3100
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 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director DR. DEAN W. SPENCER

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