39D0906393 CLIA NUMBER - CENTERVILLE CLINICS INC - CALIFORNIA

Laboratory Demographics

  • CLIA Code: 39D0906393
  • Facility Name: CENTERVILLE CLINICS INC - CALIFORNIA
  • Facility Address: 1152 WOOD STREET
    CALIFORNIA, PA
    ZIP 15419
  • Facility Phone: 724 938-2122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES BROWN
  • NPI Number: 1053392852
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 39D0906393
LAB Type Physician Office
Facility Name CENTERVILLE CLINICS INC - CALIFORNIA
Street 1152 WOOD STREET
City CALIFORNIA
State PA
ZIP 15419
Phone 724 938-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director DR. CHARLES BROWN

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